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1104903038
MARK THANASSI
SANTA CLARA, CA
NPI
1104903038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G86578)
Enumeration Date
2006-10-31
Last Update Date
2021-12-17
Business Address
MARK THANASSI MD
900 KIELY BLVD
SANTA CLARA, CA 95051-5329
Phone number: 408-236-6400
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Mailing Address
MARK THANASSI MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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