IndividualActive
Edward Neely, MD
NPI 1710962998 · Pediatric Endocrinology Physician · San Jose, CA
Provider details
- NPI number
- 1710962998
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G55037 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
751 S Bascom Ave
San Jose, CA 95128-2604
Phone: (408) 885-7422
Approximate (ZIP-level) locationGet directions
Mailing address
576 Cresta Vista Ln
Portola Valley, CA 94028-7729
Registry dates
- Enumerated
- 2005-12-12
- Last updated
- 2012-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.