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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARK A ANDERSON · (Male)

NPI Number 1174736953
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2007
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G34266
Hospital affiliation(s) Not Available
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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