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Organization

MICHAEL C KUSHLAN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL CHARLES KUSHLAN M.D. (PRESIDENT)
(408) 356-0468
Entity
Organization

Contact information

Practice address
2512 SAMARITAN CT STE G, SAN JOSE, CA 95124-4002
(408) 356-0468
(408) 356-4821
Mailing address
2512 SAMARITAN CT STE G, SAN JOSE, CA 95124-4002
(408) 356-0468
(408) 356-4821

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
08/29/2010
Last updated
06/23/2012
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