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Organization

NORTHGATE SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE MAREK DPM (MEMBER)
(831) 588-7296
Entity
Organization

Contact information

Practice address
200 PORTER DR STE 100, SAN RAMON, CA 94583-1524
(831) 588-7296
Mailing address
200 PORTER DR STE 100, SAN RAMON, CA 94583-1524
(831) 588-7296

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/25/2021
Last updated
07/16/2021
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