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Alfred Coleman JR., PAC
General Practice Physician in San Jose, California
NPI 1720171598

Alfred Coleman JR. is a General Practice Physician based in San Jose, CA. Alfred Coleman JR. practices in San Jose, CA and has the professional credentials of PAC. The NPI Number for Alfred Coleman JR. is 1720171598 and holds a License No. PA10187 (California).

The current practice location address for Alfred Coleman JR. is 1644 Alum Rock Ave, San Jose, CA and can be reached out via phone at 408-347-1680 and via fax at 408-347-1681.

Location: 1644 Alum Rock Ave, San Jose, CA, 95133-1202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720171598
Provider Name
Alfred Coleman JR.
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1644 Alum Rock Ave, San Jose, CA, 95133-1202
Phone Number
408-347-1680
Fax Number
408-347-1681
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA10187 01 CA PHYSICIAN ASSISTANT LICEN
institution
Provider Business Practice Location Address Details
Address
1644 Alum Rock Ave
City
San Jose
State
California
Zip
95116-2429
Phone Number
408-347-1680
Fax Number
408-347-1681
person
Provider Business Mailing Address Details
Address
1644 Alum Rock Ave
City
San Jose
State
California
Zip
95116-2429
Phone Number
408-347-1680
Fax Number
408-347-1681
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
PA10187 (California)
Definition
Definition to come...
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