Individual
MRS. ADDY SQUARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
828 S WINCHESTER BLVD, SAN JOSE, CA 95128-2930
(408) 866-4000
(408) 866-3999
Mailing address
828 S WINCHESTER BLVD, SAN JOSE, CA 95128-2930
(408) 866-4000
(408) 866-3999
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G73060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G730600
—
CA
Enumeration date
08/04/2006
Last updated
12/04/2020
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