Organization
FREMONT EAT NOSE & THROAT MED GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON HOWARD EPSTEIN MD (SECRETARY)
(510) 797-9999
Entity
Organization
Contact information
Practice address
2557 MOWRY AVE, #30, FREMONT, CA 94538
(510) 797-9999
(510) 797-9783
Mailing address
2557 MOWRY AVE, #30, FREMONT, CA 94538
(510) 797-9999
(510) 797-9783
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0027800
—
CA
Enumeration date
12/19/2006
Last updated
08/22/2020
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