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Individual

CHARLES BRUHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
227 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 278-3003
(408) 347-2196
Mailing address
400 RACE ST, SAN JOSE, CA 95126-3518
(408) 278-3000

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G41455
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G414550
CA
Enumeration date
08/30/2006
Last updated
10/10/2007
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