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Individual

DR. BENEDICTO MARQUEZ CORTEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 LAWRENCE EXPY, DEPT 325, SANTA CLARA, CA 95051-5173
(408) 851-7440
(408) 851-7441
Mailing address
700 LAWRENCE EXPY, DEPT 325, SANTA CLARA, CA 95051-5173
(408) 851-7440
(408) 851-7441

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A96806
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A96806
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68-0326919
TAX ID
CA
Enumeration date
09/26/2006
Last updated
12/15/2021
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