Individual
DR. PETER J SCHUBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
455 OCONNOR DR, SUITE 370, SAN JOSE, CA 95128-1633
(408) 292-7202
(408) 297-2351
Mailing address
2512 SAMARITAN CT, SUITE E, SAN JOSE, CA 95124-4002
(408) 358-8272
(408) 356-7779
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G40729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G407290
—
CA
01
—
330003744
RAILROAD MEDICARE PIN
CA
Enumeration date
06/28/2006
Last updated
05/12/2008
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