Individual provider · Type 1 NPI

Mark Edward Eastham, MD

Specialist · San Jose, CA

NPI number 1881610376 Active

Practice location

2505 Samaritan Dr, Suite 605
San Jose, CA 95124-4006

Call (408) 358-0133 Map

Fax (408) 358-8134

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG65379 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1881610376

Mark Edward Eastham, MD's National Provider Identifier is 1881610376, issued on Jul 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.