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Individual

RUEL TAN GARCIA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2340 MONTPELIER DR, STE A, SAN JOSE, CA 95116-1622
(408) 347-9001
(408) 347-9004
Mailing address
2340 MONTPELIER DR, STE A, SAN JOSE, CA 95116-1622
(408) 347-9001
(408) 347-9004

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G79067
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G79067
CA
Enumeration date
06/01/2005
Last updated
07/08/2007
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