Summit Brain Health | |
1762 Technology Dr Ste 116 San Jose CA 95110-1307 | |
(650) 398-6329 | |
Not Available |
Full Name | Summit Brain Health |
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Speciality | General Practice |
Location | 1762 Technology Dr Ste 116, San Jose, California |
Authorized Official Name and Position | Thomas Alan Geraci (CREDENTIALING MANAGER) |
Authorized Official Contact | 6503986329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Brain Health 1762 Technology Dr Ste 116 San Jose CA 95110-1307 Ph: (650) 398-6329 | Summit Brain Health 1762 Technology Dr Ste 116 San Jose CA 95110-1307 Ph: (650) 398-6329 |
NPI Number | 1407466477 |
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Provider Enumeration Date | 08/05/2020 |
Last Update Date | 12/05/2023 |
Identifier | Type | State | Issuer |
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1407466477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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