Organization
PEDIATRIC GASTROENTEROLOGY ASSOCIATES OF SANTA CLARA VALLEY
Active
Organization
PEDIATRIC GASTROENTEROLOGY ASSOCIATES OF SANTA CLARA VALLEY
Active
Other names
Pediatric Gasstroenterology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE FROST MCCRACKEN MD PHD (OWNER)
(408) 358-3573
Entity
Organization
Contact information
Practice address
2577 SAMARITAN DR, STE 815, SAN JOSE, CA 95124
(408) 358-3573
(408) 356-2888
Mailing address
2577 SAMARITAN DR, STE 815, SAN JOSE, CA 95124
(408) 358-3573
(408) 356-2888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
09/11/2025
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