Individual
MICHAEL NATHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
751 S BASCOM AVE, CARDIAC SURGERY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A23550
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A23550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A235500
—
CA
Enumeration date
07/02/2006
Last updated
09/12/2007
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