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1053511667
NIV E DECALO
SAN JOSE, CA
NPI
1053511667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A120987)
Enumeration Date
2007-07-21
Last Update Date
2019-03-29
Business Address
Dr. NIV E DECALO M.D.
225 N JACKSON AVE
SAN JOSE, CA 95116
Phone number: 408-259-5000
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Mailing Address
Dr. NIV E DECALO M.D.
250 CHERRY LN STE 116
MANTECA, CA 95337-4398
Phone number: 209-647-2184
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