Individual provider · Type 1 NPI

Alfred Coleman Jr., PAC

General Practice Physician · San Jose, CA

NPI number 1720171598 Active

Practice location

1644 Alum Rock Ave
San Jose, CA 95116-2429

Call (408) 347-1680 Map

Fax (408) 347-1681

Mailing address

838 Antero Ct
San Jose, CA 95133-1202

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XPA10187 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1720171598

Alfred Coleman Jr., PAC's National Provider Identifier is 1720171598, issued on Oct 2, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.