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1972641736
EVERGREEN PEDIATRICS INC
SAN JOSE, CA
NPI
1972641736
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Entity Type
Organization
Authorized Contact
PRONOTI NIGAM
Physician
408-238-8303
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A33613)
Enumeration Date
2007-02-02
Last Update Date
2013-10-02
Business Address
EVERGREEN PEDIATRICS INC
4205 SAN FELIPE RD #110
SAN JOSE, CA 95135-1503
Phone number: 408-238-8303
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Mailing Address
EVERGREEN PEDIATRICS INC
4205 SAN FELIPE RD #110
SAN JOSE, CA 95135-1503
Phone number: 408-238-8303
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