BURT BRENT MD A MEDICAL CORPORATION NPI 1184763476

NPI Information

BURT BRENT MD A MEDICAL CORPORATION is a plastic and reconstructive surgery surgery in Woodside, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. BURT BRENT MD A MEDICAL CORPORATION NPI is 1184763476. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Burton D Brent Md.

The provider's business location address is:

2995 WOODSIDE ROAD
SUITE 300
WOODSIDE, CA
ZIP 94062-447
Phone: (650) 851-5300
Fax: (650) 851-5302

The provider's authorized official is Burton D Brent .
The authorized official title is Physician Owner and has the following contact phone number (650) 851-5300.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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