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14911 National Ave Suite 6 Los Gatos CA 95032-2632 | |
| (408) 358-8998 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 14911 National Ave, Los Gatos, California |
| Authorized Official Name and Position | Mary Jane B Hutchins (PHYSICIAN) |
| Authorized Official Contact | 4083588998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
14911 National Ave Suite 6 Los Gatos CA 95032-2632 Ph: (408) 358-8998 | 14911 National Ave Suite 6 Los Gatos CA 95032-2632 Ph: (408) 358-8998 |
| NPI Number | 1750561031 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 12/22/2009 |
| Medicare PECOS PAC ID | 8022158054 |
|---|---|
| Medicare Enrollment ID | O20091222000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750561031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50634 (California) | Primary |
| Provider Name | Mary Jane B Hutchins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134221583 PECOS PAC ID: 0547345415 Enrollment ID: I20080317000666 |
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