DR. MARIE ANSON-REBONG M.D. NPI 1982611349

NPI Information

NPI: 1982611349
Provider Name: DR. MARIE ANSON-REBONG, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
2350 MCKEE ROAD
STE 1
SAN JOSE, CA
ZIP 95116
Phone: (408) 729-3232
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DR. Marie Anson-rebong, M.D. is an adolescent medicine pediatrics in San Jose, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Marie Anson-rebong, M.D. NPI is 1982611349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2350 MCKEE ROAD
STE 1
SAN JOSE, CA
ZIP 95116-606
Phone: (408) 729-3232
Fax: (408) 729-2165

The enumeration date for this NPI number is 8/1/2006 and was last updated on 10/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	A45814	CALIFORNIA	Yes
2	208D00000X	General Practice		A45814	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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