Modesto Pediatrics

NPI #1366547796 in Modesto, California

Provider Information

NPI Number: 1366547796
Entity Type: Organization
Organization Name: Modesto Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Sep 13, 2006
Last Updated: Aug 16, 2011

Practice Location

Address: 3109 COFFEE RD
Address 2: STE A
City: Modesto
State: California
ZIP Code: 95355-1766
Phone: (209) 522-0001

Authorized Official

Name: ANN MARIE TRUSCELLO, MD
Title: PRESIDENT
Phone: (209) 522-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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