Provider First Line Business Practice Location Address:
SANTA TERESA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
250 HOSPITAL PARKWAY
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-972-6164
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2006