Alfred Coleman in San Jose - General Practice

Alfred Coleman - NPI 1720171598

Alfred Coleman is a General Practice in San Jose, California. Alfred Coleman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alfred Coleman is 1720171598. The last update date is 2007-07-08.

Alfred Coleman's current location address is 838 Antero Ct, San Jose, California. You can contact this provider via phone number 4083471680 and fax number 4083471681. The mailing address for Alfred Coleman is 838 Antero Ct, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Alfred Coleman
Address 838 Antero Ct, San Jose, California
Phone Number 4083471680
Fax Number 4083471681
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1720171598
Provider Enumeration Date 2006-10-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 838 Antero Ct
City San Jose
State California (CA)
Post Code 951331202
Phone Number 4083471680
Fax Number 4083471681

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No PA10187
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA10187 CA PHYSICIAN ASSISTANT LICEN

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FAQs about Alfred Coleman

What is the unique 10-digit identifier code assigned to Alfred Coleman by the Centers for Medicare & Medicaid Services?

The Alfred Coleman has been issued the NPI (National Provider Identifier) 1720171598 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Alfred Coleman's physical address?

The Alfred Coleman is physically located at 838 Antero Ct, in the city of San Jose, CA, with the postal code 951331202.

What is Alfred Coleman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Alfred Coleman is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1720171598 to Alfred Coleman?

The Alfred Coleman received its 1720171598 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.

As of what date were the details pertaining to Alfred Coleman last refreshed?

The information related to the Alfred Coleman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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