Organization
EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BOCK HUGHES M.D. (PRESIDENT)
(650) 344-6896
Entity
Organization
Contact information
Practice address
100 S ELLSWORTH AVE, SUITE 308, SAN MATEO, CA 94401-3939
(650) 344-6896
(650) 344-2794
Mailing address
322 FRANKLIN ST, SAN MATEO, CA 94402-2214
(650) 344-6896
(650) 344-2794
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G071603
CA
Other
Enumeration date
12/01/2011
Last updated
01/05/2012
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