Individual
CHARLES GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128
(408) 947-2992
(408) 947-3470
Mailing address
PO BOX 45072, SAN FRANCISCO, CA 94145-5072
(408) 947-2992
(408) 947-3470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G50626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G506260
—
CA
Enumeration date
09/26/2006
Last updated
08/27/2008
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