Organization
TANJA L. KUJAC, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA LYNNE KUJAC MD (CEO/MEDICAL DIRECTOR)
(925) 256-6583
Entity
Organization
Contact information
Practice address
710 SOUTH BROADWAY, STE 110, WALNUT CREEK, CA 94596
(925) 256-6583
(925) 256-6583
Mailing address
PO BOX #183, 3000 F DANVILLE BLVD, ALAMO, CA 94507
(925) 256-6583
(925) 256-6583
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A063451
CA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
A063451
CA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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