National Provider Identifier Database

MARK A ANDERSON, MD – NPI #1174736953
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MARK A ANDERSON, MD
333 O'CONNOR DR
SAN JOSE, CA95128
Phone: 408-297-3484
Fax: 408-292-6481
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MARK A ANDERSON

NPI Number 1174736953
Credentials MD
Entity Individual
Enumeration date 05/08/2007
Last updated 09/16/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: G34266
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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