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1427494269
IVY TAM
SAN DIEGO, CA
NPI
1427494269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A143226)
Enumeration Date
2013-05-20
Last Update Date
2016-11-15
Business Address
-- IVY TAM M.D.
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5841
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Mailing Address
-- IVY TAM M.D.
3020 CHILDRENS WAY # MC5064
SAN DIEGO, CA 92123-4223
Phone number:
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