FRED AND MARY MANSUBI M.D. A PROFESSIONAL MEDICAL CORPORATION NPI 1114126034

NPI Information

FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION is a pediatric allergy/immunology pediatrics in San Jose, CA. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION NPI is 1114126034. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2577 SAMARITAN DR
SUITE 860
SAN JOSE, CA
ZIP 95124-100
Phone: (408) 358-2627
Fax: (408) 356-6445

The provider's authorized official is Mehri (mary) Mansubi .
The authorized official title is Owner and has the following contact phone number (408) 358-2627.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 3/6/2013.

Taxonomy Codes

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Other Identifiers

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