Metamorph, Inc.

NPI #1902106982 in San Jose, California

Provider Information

NPI Number: 1902106982
Entity Type: Organization
Organization Name: Metamorph, Inc.
Primary Specialty: Physician Assistant
Enumeration Date: Oct 25, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: 7725 KILMARNOK DR
City: San Jose
State: California
ZIP Code: 95135-2140
Phone: (408) 852-0703

Authorized Official

Name: PHYLLIS N BORNER
Title: PRESIDENT
Phone: (408) 852-0703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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