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Mr. Samuel Cyril Ballon, MD
Gynecologic Oncology Physician in Los Gatos, California
NPI 1760408173

Samuel Cyril Ballon is a Gynecologic Oncology Physician based in Los Gatos, CA and is specialized in Gynecologic Oncology. Samuel Cyril Ballon practices in Los Gatos, CA and has the professional credentials of MD. The NPI Number for Samuel Cyril Ballon is 1760408173 and holds a License No. G21751 (California).

The current practice location address for Samuel Cyril Ballon is 815 Pollard Rd, Los Gatos, CA and can be reached out via phone at 408-378-6545 and via fax at 408-378-6550.

Location: 815 Pollard Rd, Los Gatos, CA, 95032-1438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760408173
Provider Name
Samuel Cyril Ballon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 Pollard Rd, Los Gatos, CA, 95032-1438
Phone Number
408-378-6545
Fax Number
408-378-6550
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G217514 01 CA MEDICARE PIN
GR0101630 05 CA
institution
Provider Business Practice Location Address Details
Address
815 Pollard Rd
City
Los Gatos
State
California
Zip
95032-1438
Phone Number
408-378-6545
Fax Number
408-378-6550
person
Provider Business Mailing Address Details
Address
815 Pollard Rd
City
Los Gatos
State
California
Zip
95032-1438
Phone Number
408-378-6545
Fax Number
408-378-6550
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
G21751 (California)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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