| Alex Studemeister Md Inc A Professional Medical Corporation | |
|
105 N Bascom Ave Suite 202 San Jose CA 95128-1811 | |
| (408) 993-1500 | |
| Not Available |
| Full Name | Alex Studemeister Md Inc A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 N Bascom Ave, San Jose, California |
| Authorized Official Name and Position | Konda Duffy (BILLING MANAGER) |
| Authorized Official Contact | 4083232312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Studemeister Md Inc A Professional Medical Corporation 105 N Bascom Ave Suite 202 San Jose CA 95128-1811 Ph: (408) 993-1500 | Alex Studemeister Md Inc A Professional Medical Corporation 105 N Bascom Ave Suite 202 San Jose CA 95128-1811 Ph: (408) 993-1500 |
| NPI Number | 1689068215 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/20/2015 |
| Medicare PECOS PAC ID | 6507185311 |
|---|---|
| Medicare Enrollment ID | O20150429000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689068215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | G57832 (California) | Primary |
| Provider Name | Alex E Studemeister |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235171620 PECOS PAC ID: 5395786248 Enrollment ID: I20050520000279 |
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