Organization
ASSOCIATED FAMILY PHYSICIANS OF VALLEJO
Active
Other names
Associated Family Physicians Medical Group of Vallejo-Benica Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN PATRICK HENNESSEY MD (PRESIDENT OWNER)
(707) 643-6483
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, #304, VALLEJO, CA 94589-2580
(707) 643-6483
(707) 643-3028
Mailing address
100 HOSPITAL DR, #304, VALLEJO, CA 94589-2580
(707) 643-6483
(707) 643-3028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C41883
CA
207Q00000X
Family Medicine Physician
G64641
CA
207Q00000X
Family Medicine Physician
Primary
G67566
CA
Other
Enumeration date
04/01/2006
Last updated
05/12/2010
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