Individual
BRANDON TAYLOR GINIECZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, DEPARTMENT OF ANESTHESIA, SAN JOSE, CA 95128-2604
(408) 885-5800
(408) 793-1978
Mailing address
751 S BASCOM AVE, DEPARTMENT OF ANESTHESIA, SAN JOSE, CA 95128-2604
(408) 885-5800
(408) 793-1978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A71866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A718660
—
CA
Enumeration date
05/11/2006
Last updated
09/11/2012
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