Organization
FREMONT SURGERY CENTER NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MAZOROS (MANAGING PARTNER)
(510) 456-4600
Entity
Organization
Contact information
Practice address
39472 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 456-4600
(510) 794-6822
Mailing address
39350 CIVIC CENTER DR STE 280, FREMONT, CA 94538-2331
(510) 456-4600
(510) 456-1006
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
10/13/2011
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