Organization
HARVEY F PALITZ MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA CUELLAR (OFFICE MANAGER)
(209) 575-5882
Entity
Organization
Contact information
Practice address
1524 MCHENRY AVE, SUITE 405, MODESTO, CA 95350-4500
(209) 575-5885
(209) 529-5471
Mailing address
1524 MCHENRY AVE STE 405, MODESTO, CA 95350-4568
(209) 575-5885
(209) 529-5471
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G26307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G263070
—
CA
01
—
G26307
MD LICENSE
CA
Enumeration date
08/03/2006
Last updated
11/21/2011
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