Organization
CHOICE MEDICAL CLINIC, INC.
Active
Other names
Choice Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN FISK M.D. (OWNER)
(408) 995-0102
Entity
Organization
Contact information
Practice address
1834 STONE AVE, SUITE 2B, SAN JOSE, CA 95125-1306
(408) 995-0102
(408) 995-6842
Mailing address
PO BOX 5640, SAN JOSE, CA 95150-5640
(408) 995-0102
(408) 995-6842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0006542
—
CA
Enumeration date
10/05/2007
Last updated
11/27/2007
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