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1699717041
GLENN H DESANDRE
SAN JOSE, CA
NPI
1699717041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CA A69290)
Enumeration Date
2006-06-11
Last Update Date
2021-12-15
Business Address
Dr. GLENN H DESANDRE M.D.
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-5420
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Mailing Address
Dr. GLENN H DESANDRE M.D.
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-5420
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