Provider Demographics
NPI:1346341831
Name:CORTEZ, BENEDICTO MARQUEZ JR (MD)
Entity Type:Individual
Prefix:DR
First Name:BENEDICTO
Middle Name:MARQUEZ
Last Name:CORTEZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 LAWRENCE EXPY
Mailing Address - Street 2:DEPT 325
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5173
Mailing Address - Country:US
Mailing Address - Phone:408-851-7440
Mailing Address - Fax:408-851-7441
Practice Address - Street 1:700 LAWRENCE EXPY
Practice Address - Street 2:DEPT 325
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-7440
Practice Address - Fax:408-851-7441
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA96806208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA68-0326919OtherTAX ID