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Christopher Robert Fossaceca, MD

Anesthesiology in Tracy, CA. Individual provider (NPI-1).

NPI number1295817880
StatusActive
Last updated in NPPESAug 28, 2013

Details

NPI
1295817880
Entity type
Individual (NPI-1)
Name
Christopher Robert Fossaceca
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2006
Last updated
Aug 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyA113247CAYes
207L00000X AnesthesiologyML20008774WA

Practice location

2151 W Grant Line Rd
Tracy, CA 95377-7309

Phone 209-832-0535

Mailing address

600 Coffee Rd
Modesto, CA 95355-4201

Phone 209-521-6097

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