Most Relevant Information
Provider Data
| NPI Number: | 1003267774 |
| Provider Name: | PHILLIP TING M.S., A.T.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2016 |
| Last Updated: | 06/23/2016 |
Provider Practice Location
6238 BANCROFT WAY
SAN JOSE
CA
951294002
Practice Location Phone/Fax
| Phone: | 4089168403 |
| Fax: |
Provider Mailing Location
6238 BANCROFT WAY
SAN JOSE
CA
951294002
Provider Mailing Phone/Fax
| Phone: | 4089168403 |
| Fax: |