Organization
DONALD J. PROLO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. PROLO (M.D.)
(408) 295-4022
Entity
Organization
Contact information
Practice address
203 DI SALVO AVE, SAN JOSE, CA 95128-1628
(408) 295-4022
(408) 295-2562
Mailing address
203 DI SALVO AVE, SAN JOSE, CA 95128-1628
(408) 295-4022
(408) 295-2562
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G99280
CA
Other
Enumeration date
05/25/2007
Last updated
07/12/2007
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