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1063994879
MARTIN PHAN
SAN JOSE, CA
NPI
1063994879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: CA 3442)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
Dr. MARTIN PHAN MD
2995 EDISON DR
SAN JOSE, CA 95133-2412
Phone number: 408-515-9029
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Mailing Address
Dr. MARTIN PHAN MD
2995 EDISON DR
SAN JOSE, CA 95133-2412
Phone number:
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