Individual
DR. HAROLD R. MANCUSI-UNGARO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 MENDOCINO AVE, SUITE 130, SANTA ROSA, CA 95403-2261
(707) 566-5288
(707) 566-5471
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G32831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G328310
—
CA
Enumeration date
01/18/2007
Last updated
06/08/2011
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