SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION NPI 1205012127

NPI Information

SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION is a specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION NPI is 1205012127. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2504 SAMARITAN DR STE 20
SAN JOSE, CA
ZIP 95124-005
Phone: (408) 356-3725
Fax: (408) 376-3713

The provider's authorized official is Samuel C Ballon .
The authorized official title is Ceo and has the following contact phone number (408) 356-3725.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 5/12/2015.

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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