institution
Plastic & Reconstructive Surgery Associates Med Grp Inc
Plastic and Reconstructive Surgery Physician in San Jose, California
NPI 1578689592

Plastic & Reconstructive Surgery Associates Med Grp Inc is a Plastic and Reconstructive Surgery Physician based in San Jose, CA and is specialized in Plastic and Reconstructive Surgery. Plastic & Reconstructive Surgery Associates Med Grp Inc practices in San Jose, CA. The NPI Number for Plastic & Reconstructive Surgery Associates Med Grp Inc is 1578689592 and holds a License No. E27409 (California).

The current practice location address for Plastic & Reconstructive Surgery Associates Med Grp Inc is 2581 Samaritan Dr, San Jose, CA and can be reached out via phone at 408-356-4241 and via fax at 402-356-4924.

Location: 2581 Samaritan Dr, San Jose, CA, 95124-4112
institution
Provider Profile Details
NPI Number
1578689592
Provider Name
Plastic & Reconstructive Surgery Associates Med Grp Inc
Credential
Provider Entity Type
Organization
Address
2581 Samaritan Dr, San Jose, CA, 95124-4112
Phone Number
408-356-4241
Fax Number
402-356-4924
Provider Enumeration Date
03/21/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ15681Z 01 CA BCBS
1356389241 01 CA DR LEPORE INDIVUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
2581 Samaritan Dr
City
State
Zip
95124-4113
Phone Number
408-356-4241
Fax Number
402-356-4924
person
Provider Business Mailing Address Details
Address
2581 Samaritan Dr
City
State
Zip
95124-4113
Phone Number
408-356-4241
Fax Number
402-356-4924
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
E27409 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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