Individual
MARINA CHECHELNITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
227 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 871-5254
(408) 871-5221
Mailing address
227 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 871-5254
(408) 871-5221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A52397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A523970
—
CA
Enumeration date
08/30/2006
Last updated
11/11/2020
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