Individual provider · Type 1 NPI

Jennifer Ann Gregovich, PA-C

Surgical Physician Assistant · Fremont, CA

NPI number 1063575512 Active

Practice location

39400 Paseo Padre Pkwy, Embarcadero Building, General Surgery Dept.
Fremont, CA 94538-2310

Call (510) 248-3075 Map

Fax (510) 248-3364

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA16487 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1063575512

Jennifer Ann Gregovich, PA-C's National Provider Identifier is 1063575512, issued on Dec 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fremont, CA. The record was last updated on Jan 11, 2022.