| Eugene Dicero Md Inc | |
|
38069 Martha Ave 300 Fremont CA 94536-3811 | |
| (510) 792-9345 | |
| (510) 792-8621 |
| Full Name | Eugene Dicero Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 38069 Martha Ave, Fremont, California |
| Authorized Official Name and Position | Eugene Dicero (PRESIDENT) |
| Authorized Official Contact | 5107929345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Dicero Md Inc Po Box 5027 Fremont CA 94537-5027 Ph: (510) 792-9345 | Eugene Dicero Md Inc 38069 Martha Ave 300 Fremont CA 94536-3811 Ph: (510) 792-9345 |
| NPI Number | 1063545945 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063545945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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