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Organization
GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.
Active
Organization
GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.
Active
Other names
Noninvasive Vascular Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT O. GINGERY M.D. (PRESIDENT)
(510) 347-4700
Entity
Organization
Contact information
Practice address
13851 E 14TH ST, SUITE 202, SAN LEANDRO, CA 94578-2631
(510) 347-4700
(510) 347-4712
Mailing address
13851 E 14TH ST, SUITE 202, SAN LEANDRO, CA 94578-2631
(510) 347-4700
(510) 347-4712
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
02/02/2010
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