Provider Demographics
NPI:1437392263
Name:BYMASTER, ANGELA JO (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:JO
Last Name:BYMASTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:448 GOODYEAR ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-3201
Mailing Address - Country:US
Mailing Address - Phone:408-583-6338
Mailing Address - Fax:408-516-1154
Practice Address - Street 1:226 W ALMA AVE STE 10
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-3520
Practice Address - Country:US
Practice Address - Phone:408-583-6338
Practice Address - Fax:408-516-1154
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA101603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine