Organization
GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.
Active
Other names
NONINVASIVE VASCULAR LAB
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT O GINGERY M.D. (PRESIDENT)
(510) 347-4700
Entity
Organization
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 347-4700
(510) 347-4712
Mailing address
13851 E 14TH ST, SUITE: 202, SAN LEANDRO, CA 94578-2631
(510) 347-4700
(510) 347-4712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G23370
CA
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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