San Joaquin Hematology Oncology a PC

NPI #1013123496 in Tracy, California

Provider Information

NPI Number: 1013123496
Entity Type: Organization
Organization Name: San Joaquin Hematology Oncology a PC
Primary Specialty: Specialist
Enumeration Date: May 15, 2007
Last Updated: Jul 23, 2008

Practice Location

Address: 4600 S TRACY BLVD STE 108
City: Tracy
State: California
ZIP Code: 95377-8105
Phone: (209) 839-9115

Authorized Official

Name: DR. NEELESH S BANGALORE, MD, PHD
Title: PRESIDENT
Phone: (209) 839-9115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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