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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION

Active Organization

FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION is a Pediatric Allergy/Immunology organization located in SAN JOSE, California. NPI 1114126034 is currently active in the NPPES registry. Verify at CMS.

Pediatric Allergy/Immunology · SAN JOSE, CA

Registration Details

NPI Number
1114126034
Provider Type
Organization
NPI Issued
Jul 11, 2007 (19.049734094501 yrs)
Last Updated
Mar 6, 2013
Licenses
A330510 (CA)
A262890 (CA)

Practice Information

Address
2577 SAMARITAN DR
SUITE 860
SAN JOSE, CA, 951244100
Browse CA providers · Browse ZIP 95124
Phone
4083582627
Fax
4083566445
Primary Specialty
Pediatric Allergy/Immunology
2080P0201X
Additional Specialty
Pediatric Allergy/Immunology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.