Angel M. San Jose, M.d., P.c.

NPI #1437170354 in Grundy, Virginia

Provider Information

NPI Number
1437170354
Entity Type
Organization
Organization Name
Angel M. San Jose, M.d., P.c.
Primary Specialty
Surgery
Enumeration Date
Jul 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
RR 5 BOX 20
Address 2
SUITE 207
City
Grundy
ZIP Code
24614-9611
Phone
(276) 935-1168

Authorized Official

Name
DR. ANGEL M SAN JOSE, M.D.
Title
PRESIDENT
Phone
(276) 935-1168

Specialties & Taxonomy Codes

Specialty
Surgery

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