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Individual

DR. DALE JOSEPH RITZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 S SAN MATEO DR, SUITE 206, SAN MATEO, CA 94401-3819
(650) 343-4003
(650) 696-7040
Mailing address
101 S SAN MATEO DR, SUITE 206, SAN MATEO, CA 94401-3819
(650) 343-4003
(650) 696-7040

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G50169
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G501690
CA
Enumeration date
12/04/2006
Last updated
06/28/2011
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