Organization
SOUTH VALLEY MULTI SPECIALTY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COSTANTINO T GALLO M.D. (PRESIDENT, CEO)
(408) 293-1992
Entity
Organization
Contact information
Practice address
173 N MORRISON AVE, SUITE C, SAN JOSE, CA 95126-2712
(408) 293-1992
(408) 293-6030
Mailing address
173 N MORRISON AVE, SUITE C, SAN JOSE, CA 95126-2712
(408) 293-1992
(408) 293-6030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
12/06/2012
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