Organization
SUMMIT BRAIN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALAN GERACI DO (CREDENTIALING MANAGER)
(650) 398-6329
Entity
Organization
Contact information
Practice address
1762 TECHNOLOGY DR STE 116, SAN JOSE, CA 95110-1307
(650) 398-6329
Mailing address
1762 TECHNOLOGY DR STE 116, SAN JOSE, CA 95110-1307
(650) 398-6329
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/05/2020
Last updated
12/05/2023
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