Organization
JEWISH COMMUNITY FREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CONNELL M.D. (MEDICAL DIRECTOR)
(707) 585-7780
Entity
Organization
Contact information
Practice address
490 CITY CENTER DR, ROHNERT PARK, CA 94928-2178
(707) 585-7780
(707) 585-7784
Mailing address
490 CITY CENTER DR, ROHNERT PARK, CA 94928-2178
(707) 585-7780
(707) 585-7784
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
550001029
CA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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