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NPI Profile for FRED AND MARY MANSUBI MD A PROFESSIONAL MEDICAL CORPORATION in SAN JOSE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Allergy/Immunology |
2080P0201X | 37 | Physician/Pediatric Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1114126034 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/11/2007 | |
| Last updated | 03/06/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION
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FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION