ALEXANDRA LAURA DUISBERG MD - NPI 1255820635 - Student in an Organized Health Care Education/Training Program in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Alexandra Laura Duisberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA LAURA DUISBERG MD (NPI 1255820635) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1255820635

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXANDRA LAURA DUISBERGCredential: MD

Location Address455 OCONNOR DRSan Jose, CA 95128-1633

Mailing Address455 Oconnor DrSan Jose, CA 95128-1633 · (408) 283-7767

Phone(408) 283-7767

Sole ProprietorNo

Enumeration DateMay 1, 2018

✔ NPI 1255820635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

455 OCONNOR DR, San Jose, CA 95128

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