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Marina Kofman
Pediatric Nurse Practitioner in San Jose, California
NPI 1427596618

Marina Kofman is a Pediatric Nurse Practitioner based in San Jose, CA and is specialized in Pediatrics. Marina Kofman practices in San Jose, CA. The NPI Number for Marina Kofman is 1427596618 and holds a License No. 95005337 (California).

The current practice location address for Marina Kofman is 751 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-205-3090.

Location: 751 S Bascom Ave, San Jose, CA, 95128-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427596618
Provider Name
Marina Kofman
Credential
Provider Entity Type
Individual
Gender
Female
Address
751 S Bascom Ave, San Jose, CA, 95128-2604
Phone Number
408-205-3090
Fax Number
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
751 S Bascom Ave
City
San Jose
State
California
Zip
95128-2604
Phone Number
408-205-3090
Fax Number
person
Provider Business Mailing Address Details
Address
751 S Bascom Ave
City
San Jose
State
California
Zip
95128-2604
Phone Number
408-205-3090
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95005337 (California)
Definition
Definition to come...
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