Organization
ADVANCED REGEN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SANTUCCI (OWNER, AUTHORIZED OFFICIAL)
(408) 871-8222
Entity
Organization
Contact information
Practice address
471 DIVISION ST, CAMPBELL, CA 95008-6922
(408) 871-8222
Mailing address
471 DIVISION ST, CAMPBELL, CA 95008-6922
(408) 871-8222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/22/2020
Last updated
07/20/2020
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