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 | This clinic does not participate in Medicare Program. |
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 |
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 |