| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 213 Crest Rd, Woodside, California |
| Authorized Official Name and Position | Joseph A Zammuto (PRESIDENT) |
| Authorized Official Contact | 6509968584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2120 Avy Ave P O Box 7068 Menlo Park CA 94025-6518 Ph: (650) 996-8584 | 213 Crest Rd Woodside CA 94062 Ph: (650) 996-8584 |
| NPI Number | 1497245187 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497245187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A497 (California) | Primary |
Village Doctor, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2979 Woodside Rd, Woodside, CA 94062 Phone: 650-851-4747 |