Organization
EAR, NOSE AND THROAT ASSOCIATES OF SAN MATEO COUNTY INC
Active
Other names
Ear, Nose & Throat Medical Group of San Mateo, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER F. BOCK HUGHES M.D. (PRESIDENT)
(650) 344-6896
Entity
Organization
Contact information
Practice address
100 S. ELLSWORTH AVENUE, SUITE 308, SAN MATEO, CA 94401-3931
(650) 344-6896
(650) 344-2794
Mailing address
100 S. ELLSWORTH AVENUE, SUITE 308, SAN MATEO, CA 94401-3931
(650) 344-6896
(650) 344-2794
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G71603
CA
207Y00000X
Otolaryngology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ80557Z
BLUE SHIELD
CA
05
—
ZZZ80557Z
—
CA
Enumeration date
07/16/2006
Last updated
02/11/2020
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