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Organization

NEW MILLENNIUM LAPAROSCOPY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALFRED B. JOHNSON M.D. (OWNER)
(510) 926-6521
Entity
Organization

Contact information

Practice address
237 ESTUDILLO AVE, #209, SAN LEANDRO, CA 94577-4725
(510) 926-6521
Mailing address
3984 WASHINGTON BLVD, #344, FREMONT, CA 94538-4954
(510) 926-6521

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G88950
CA

Other

Enumeration date
12/05/2012
Last updated
12/05/2012
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