Organization
PENINSULA PRIVATE NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BLUM MD (OWNER AND PRESIDENT)
(650) 260-4495
Entity
Organization
Contact information
Practice address
321 MIDDLEFIELD RD STE 275, MENLO PARK, CA 94025-4010
(650) 260-4495
Mailing address
321 MIDDLEFIELD RD STE 275, MENLO PARK, CA 94025-4010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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