John Phillip Hurwitz Md A Professional Corporation | |
3751 Montgomery Dr Santa Rosa CA 95405-5214 | |
(707) 583-1805 | |
Not Available |
Full Name | John Phillip Hurwitz Md A Professional Corporation |
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Speciality | Internal Medicine |
Location | 3751 Montgomery Dr, Santa Rosa, California |
Authorized Official Name and Position | John Hurwitz (PHYSICIAN) |
Authorized Official Contact | 7075831805 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John Phillip Hurwitz Md A Professional Corporation 122 Calistoga Rd Suite 197 Santa Rosa CA 95409-3702 Ph: () - | John Phillip Hurwitz Md A Professional Corporation 3751 Montgomery Dr Santa Rosa CA 95405-5214 Ph: (707) 583-1805 |
NPI Number | 1366627788 |
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Provider Enumeration Date | 01/03/2008 |
Last Update Date | 12/14/2016 |
Medicare PECOS PAC ID | 1456436088 |
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Medicare Enrollment ID | O20080306000685 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366627788 | NPI | - | NPPES |
9645038 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2OA6856 (California) | Primary |
Provider Name | John P Hurwitz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124018262 PECOS PAC ID: 4183709710 Enrollment ID: I20080306000680 |
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