Organization
FARWELL SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HEIFFERON (ADMINISTRATOR)
(510) 857-1004
Entity
Organization
Contact information
Practice address
39180 FARWELL DR, FREMONT, CA 94538-1015
(510) 857-1004
Mailing address
5178 MOWRY AVE, SUITE 2114, FREMONT, CA 94538-1046
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/20/2012
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