PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES MED GRP INC NPI 1578689592

NPI Information

PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES MED GRP INC is a plastic and reconstructive surgery surgery in San Jose, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES MED GRP INC NPI is 1578689592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2581 SAMARITAN DR
SUITE 102
SAN JOSE, CA
ZIP 95124-113
Phone: (408) 356-4241
Fax: (402) 356-4924

The provider's authorized official is Vincent Donald Lepore .
The authorized official title is President and has the following contact phone number (408) 356-4241.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/28/2014.

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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