Individual
JOHN MATTHEW SUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PEDIATRIC NEUROLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5440
Mailing address
19305 VENDURA CT, SARATOGA, CA 95070-4037
(408) 366-1362
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G64959
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G649590
—
CA
Enumeration date
07/19/2006
Last updated
07/08/2007
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