Organization
EMERGENCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY HAJDUK MD (PRESIDENT)
(831) 724-4741
Entity
Organization
Contact information
Practice address
75 NIELSON STREET, WATSONVILLE, CA 95076
(408) 724-4741
Mailing address
PO BOX 11719, WESTMINSTER, CA 92685-1719
(800) 592-6421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0051750
—
CA
Enumeration date
07/28/2006
Last updated
04/07/2008
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