Individual
DR. JENNIFER V. TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S SAN MATEO DR, SAN MATEO, CA 94401-3805
(650) 696-4758
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 696-4758
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C179310
CA
207P00000X
Emergency Medicine Physician
MD424980
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057762
—
NJ
05
—
101212814
—
PA
Enumeration date
07/18/2006
Last updated
03/24/2023
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