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Physician Compare National (NPI:1053597005)

HEALTHCARE PROVIDER: VERONICA MATTHEWS JOW M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1053597005
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426198011
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091211000351
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name JOW
Individual professional last name
Provider First Name VERONICA
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 480 2ND ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 100
Group Practice or individual's line 2 address
City SAN FRANCISCO
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 941071429
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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