institution
Dr. Queen Family Medicine
Health Service Clinic/Center in San Jose, California
NPI 1710366828

Dr. Queen Family Medicine is a Health Service Clinic/Center based in San Jose, CA and is specialized in Health Service. Dr. Queen Family Medicine practices in San Jose, CA. The NPI Number for Dr. Queen Family Medicine is 1710366828 and holds a License No. 20A8237 (California).

The current practice location address for Dr. Queen Family Medicine is 1675 Burdette Dr Ste 20, San Jose, CA and can be reached out via phone at 408-274-6944 and via fax at 408-274-2258. You can also correspond with Dr. Queen Family Medicine through the mailing address at 1675 BURDETTE DR STE 20, SAN JOSE, CA - 95121-1667 (mailing address contact number: 408-274-6944).

Location: 1675 Burdette Dr Ste 20, San Jose, CA, 95121-1667
institution
Provider Profile Details
NPI Number
1710366828
Provider Name
Dr. Queen Family Medicine
Credential
Provider Entity Type
Organization
Address
1675 Burdette Dr Ste 20, San Jose, CA, 95121-1667
Phone Number
408-274-6944
Fax Number
408-274-2258
Provider Enumeration Date
05/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00AX82370 05 CA
institution
Provider Business Practice Location Address Details
Address
1675 Burdette Dr Ste 20
City
State
Zip
95121-1667
Phone Number
408-274-6944
Fax Number
408-274-2258
person
Provider Business Mailing Address Details
Address
1675 Burdette Dr Ste 20
City
State
Zip
95121-1667
Phone Number
408-274-6944
Fax Number
408-274-2258
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
20A8237 (California)
Definition
Definition to come...
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