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Fremont Dermatology Medical Office
Specialist in Fremont, California
NPI 1841487337

Fremont Dermatology Medical Office is a Specialist based in Fremont, CA. Fremont Dermatology Medical Office practices in Fremont, CA. The NPI Number for Fremont Dermatology Medical Office is 1841487337 and holds a License No. C042190 (California).

The current practice location address for Fremont Dermatology Medical Office is 39210 State St Ste 218, Fremont, CA and can be reached out via phone at 510-790-0477. You can also correspond with Fremont Dermatology Medical Office through the mailing address at 39210 STATE ST STE 218, FREMONT, CA - 94538-1456 (mailing address contact number: 510-790-0477).

Location: 39210 State St Ste 218, Fremont, CA, 94538-1456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841487337
Provider Name
Fremont Dermatology Medical Office
Credential
Provider Entity Type
Organization
Address
39210 State St Ste 218, Fremont, CA, 94538-1456
Phone Number
510-790-0477
Fax Number
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A37754 01 CA UPIN
070008967 01 CA RAILROAD MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
39210 State St Ste 218
City
Fremont
State
California
Zip
94538-1456
Phone Number
510-790-0477
Fax Number
person
Provider Business Mailing Address Details
Address
39210 State St Ste 218
City
Fremont
State
California
Zip
94538-1456
Phone Number
510-790-0477
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C042190 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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