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NPI Code Detail

MEDICARE: TAM T TRAN C.O.

MEDICARE:   TAM T TRAN  C.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1598786147
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAM T TRAN C.O.
Provider Business Mailing Address
First Line : PO BOX 612103
Second Line :
City : SAN JOSE
State : CA
Zip : 95161-2103
Country : US
Telephone Number : 408-993-0382
Fax Number : 408-995-6470
Provider Business Practice Location Address
First Line : 696 E SANTA CLARA ST STE 104
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-1911
Country : US
Telephone Number : 408-993-0382
Fax Number : 408-995-6470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/09/2007

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Directions to “ TAM T TRAN C.O.” Practice Location

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