Organization
MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUL EISENSTAT MD (PRESIDENT)
(650) 964-0600
Entity
Organization
Contact information
Practice address
2204 GRANT RD, STE 203, MOUNTAIN VIEW, CA 94040-3877
(650) 964-0600
(650) 964-0991
Mailing address
2204 GRANT RD, STE 203, MOUNTAIN VIEW, CA 94040-3877
(650) 964-0600
(650) 964-0991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048611
—
CA
01
—
ZZZ19414Z
PTAN
CA
Enumeration date
04/05/2006
Last updated
10/10/2011
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