Organization
MARIE ANSON-REBONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ANSON-REBONG MD (OWNER)
(408) 729-3232
Entity
Organization
Contact information
Practice address
2350 MCKEE RD, SUITE 1, SAN JOSE, CA 95116-1606
(408) 729-3232
(408) 729-3232
Mailing address
2350 MCKEE RD, SUITE 1, SAN JOSE, CA 95116-1606
(408) 729-3232
(408) 729-3232
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A45814
CA
Other
Enumeration date
06/04/2013
Last updated
10/30/2014
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