Organization
OSTEOPOROSIS CENTER OF SAN JOSE
Active
Other names
BRUCE J DREYFUSS MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE J DREYFUSS MD (DIRECTOR)
(408) 288-6694
Entity
Organization
Contact information
Practice address
25 N 14TH ST STE 890, SAN JOSE, CA 95112-6216
(408) 288-6694
(408) 288-6698
Mailing address
25 N. 14TH ST. SUITE 890, SAN JOSE, CA 95112
(408) 288-6694
(408) 288-6698
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
RHC142268
CA
261QR0200X
Radiology Clinic/Center
FAC52131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000519
PMG #
CA
01
—
006083
SCCIPA OST #
CA
05
—
00G642970
—
CA
01
—
110048492
RAILROAD MEDICARE
CA
05
—
5148629
—
CA
01
—
660003967
RAILROAD MEDICARE
CA
01
—
75001
FIRST HEALTH #
CA
01
—
ZZZ54863Z
BLUE SHIELD#
CA
Enumeration date
04/27/2007
Last updated
09/16/2008
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