Individual
MARK J. DULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G62896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G628960
—
CA
Enumeration date
11/17/2006
Last updated
12/17/2021
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