Provider First Line Business Practice Location Address:
750 S BASCOM AVE
Provider Second Line Business Practice Location Address:
DEPT. OF INTERVENTIONAL RADIOLOGY
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95128-2603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-885-5000
Provider Business Practice Location Address Fax Number:
408-793-4256
Provider Enumeration Date:
03/20/2007