Terrence R Dwyre Md | |
393 Blossom Hill Road Suite 210 San Jose CA 95123-1652 | |
(408) 226-5465 | |
(408) 226-5466 |
Full Name | Terrence R Dwyre Md |
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Speciality | Family Medicine |
Location | 393 Blossom Hill Road, San Jose, California |
Authorized Official Name and Position | Terrence R Dwyre (PRESIDENT) |
Authorized Official Contact | 4082265465 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Terrence R Dwyre Md 393 Blossom Hill Road Suite 210 San Jose CA 95123-1652 Ph: (408) 226-5465 | Terrence R Dwyre Md 393 Blossom Hill Road Suite 210 San Jose CA 95123-1652 Ph: (408) 226-5465 |
NPI Number | 1578612842 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 12/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578612842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G29689 (California) | Primary |
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