Individual
ANTONIOS ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WELCH RD STE 315, PALO ALTO, CA 94304-1510
(650) 723-5711
(650) 725-8351
Mailing address
PO BOX 1917, SOQUEL, CA 95073-1917
(831) 359-3014
(831) 462-7761
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A52946
CA
Other
Enumeration date
09/21/2006
Last updated
07/18/2007
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