Village Doctor, A Medical Corporation | |
2979 Woodside Rd Woodside CA 94062-2443 | |
(650) 851-4747 | |
Not Available |
Full Name | Village Doctor, A Medical Corporation |
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Speciality | Clinic/Center |
Location | 2979 Woodside Rd, Woodside, California |
Authorized Official Name and Position | Eric Leonard Weiss (CEO) |
Authorized Official Contact | 6508514747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Village Doctor, A Medical Corporation 2979 Woodside Rd Woodside CA 94062-2443 Ph: (650) 851-4747 | Village Doctor, A Medical Corporation 2979 Woodside Rd Woodside CA 94062-2443 Ph: (650) 851-4747 |
NPI Number | 1568819522 |
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Provider Enumeration Date | 05/19/2016 |
Last Update Date | 02/09/2017 |
Medicare PECOS PAC ID | 2163706854 |
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Medicare Enrollment ID | O20170223002451 |
Identifier | Type | State | Issuer |
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1568819522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Eric L Weiss |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154457026 PECOS PAC ID: 0042371163 Enrollment ID: I20081208000770 |
Provider Name | Jennifer Ann Miller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750672010 PECOS PAC ID: 3678897634 Enrollment ID: I20170127002264 |
Provider Name | Prerana Sangani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144216862 PECOS PAC ID: 5092771006 Enrollment ID: I20181204003682 |
Provider Name | Milton Bird Mccoll |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720402977 PECOS PAC ID: 8628304607 Enrollment ID: I20190729003236 |
Provider Name | Maia Alexandra Mosse |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154940187 PECOS PAC ID: 9739540782 Enrollment ID: I20230807002913 |
Joseph A Zammuto Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Crest Rd, Woodside, CA 94062 Phone: 650-996-8584 |