PA Medical Group INC

NPI #1134279904 in San Jose, California

Provider Information

NPI Number: 1134279904
Entity Type: Organization
Organization Name: PA Medical Group INC
Primary Specialty: Pediatrics
Enumeration Date: Jan 12, 2007
Last Updated: Jul 16, 2008

Practice Location

Address: 2577 SAMARITAN DR
Address 2: SUITE 830
City: San Jose
State: California
ZIP Code: 95124-4100
Phone: (408) 356-1319

Authorized Official

Name: BRYAN J DRUCKER, MD
Title: CEO
Phone: (408) 356-1319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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