Organization
HARJIT SUD M.D&THOMAS T. STREETER M.D. PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN EDWARDS (MANAGER)
(209) 957-1000
Entity
Organization
Contact information
Practice address
2509 W MARCH LN, SUITE 250, STOCKTON, CA 95207-8252
(209) 957-1000
(209) 957-1001
Mailing address
2509 W MARCH LN, STE.250, STOCKTON, CA 95207-8252
(209) 957-1000
(209) 957-1001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
08/21/2007
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