Individual
MARIAN MENNINGER ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 805-5558
(408) 885-3609
Mailing address
1563 ELDERBERRY CT, ARROYO GRANDE, CA 93420-6035
(650) 773-5475
(888) 243-3358
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72215
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G72215
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
MED-PHYS-LIC-35876
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G722150
—
CA
Enumeration date
09/26/2006
Last updated
02/22/2024
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