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JOSE ENZ MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1801998836

Individual Registrant:
 JOSE  ENZ MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
500 ALFRED NOBEL DR #255A HERCULES, CA 94547-1838 US
Tel: 510-964-9647  Fax: 510-964-9656

Contact information for business:
500 ALFRED NOBEL DR #255A HERCULES, CA 94547-1838 US
Tel: 510-964-9647  Fax: 510-964-9656

Registration Information:
NPI: 1801998836
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAG051091

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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