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Individual

DR. GEORGE PETER CONTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
462 E CALAVERAS BLVD, MILPITAS, CA 95035-5412
(408) 262-4178
(408) 262-5351
Mailing address
410 ESCOBAR ST, FREMONT, CA 94539-5713
(510) 789-7053

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6424 T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77-0012970
FEIN
CA
05
SD00642400
CA
Enumeration date
10/27/2006
Last updated
12/05/2011
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