Individual
ANJUM AFSHAN MALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 OCONNOR DRIVE, SUITE B, SAN JOSE, CA 95128
(408) 279-8798
(408) 278-8777
Mailing address
3880 S BASCOM AVE, #208, SAN JOSE, CA 95124
(408) 377-8100
(408) 377-3044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A048767
CA
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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