Dr. Bernadette Teresa Ansolabehere, MD
Family Medicine in San Jose, CA. Individual provider (NPI-1).
NPI number1366682767
StatusActive
Last updated in NPPESDec 22, 2021
Details
- NPI
- 1366682767
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bernadette Teresa Ansolabehere
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2009
- Last updated
- Dec 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A103954 | CA | Yes |
Practice location
455 Oconnor Dr Ste 200San Jose, CA 95128-1632
Phone 408-283-7676 · Fax 408-283-7646
Mailing address
455 Oconnor Dr Ste 250San Jose, CA 95128-1644
Phone 408-283-7767 · Fax 408-283-7608
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