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1790990307
PENINSULA PEDIATRIC MED GRP INC
SAN MATEO, CA
NPI
1790990307
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Entity Type
Organization
Authorized Contact
ALBERT R KASUGA
President
650-259-5050
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-05-14
Last Update Date
2011-06-08
Business Address
PENINSULA PEDIATRIC MED GRP INC
50 S SAN MATEO DR SUITE #180
SAN MATEO, CA 94401-3857
Phone number: 650-342-4141
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Mailing Address
PENINSULA PEDIATRIC MED GRP INC
1720 EL CAMINO REAL SUITE #230
BURLINGAME, CA 94010-3224
Phone number: 650-259-1545
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