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Physicians Internal Medicine Geriatric Medicine

Provider NPI: 1942525498

Organization Information:
Organization is not Subpart
Authorized Official:  BENJAMIN N PINTO  PRESIDENT  206-219-5598

Practice Location:
3980 129TH PL SE B-201 BELLEVUE, WA 98006-5291 US
Tel: 206-219-5598  Fax: --

Business Mailing Address:
3980 129TH PL SE B-201 BELLEVUE, WA 98006-5291 US
Tel: --  Fax: --

NPI Information:
NPI: 1942525498
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Geriatric Medicine

Other Provider Identifiers:

L & I024168501

American Medical Association 2012 taxonomy code information

Code: 207RG0300X





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