Organization
FREMONT NEPHROLOGY PROF CORP
Active
Other names
FREMONT NEPHROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T TAY M.D. (CEO)
(510) 501-8681
Entity
Organization
Contact information
Practice address
39233 LIBERTY ST, FREMONT, CA 94538-1501
(510) 795-8186
(510) 792-8186
Mailing address
39270 PASEO PADRE PKWY, SUITE 518, FREMONT, CA 94538-1616
(510) 795-8186
(510) 792-8186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G63140
CA
207RN0300X
Nephrology Physician
Primary
G63140
CA
Other
Enumeration date
11/09/2008
Last updated
05/18/2012
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