Organization
JERRY A. HANSON, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ALAN HANSON M.D. (PRESIDENT)
(048) 295-2257
Entity
Organization
Contact information
Practice address
2030 FOREST AVE, STE. 210, SAN JOSE, CA 95128-4833
(408) 295-2257
(408) 295-2264
Mailing address
2030 FOREST AVE, STE. 210, SAN JOSE, CA 95128-4833
(408) 295-2257
(408) 295-2264
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C33389
CA
Other
Enumeration date
07/20/2007
Last updated
11/14/2007
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