Organization
MATTHEW D. MINGRONE, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DOMINIC MINGRONE MD (CEO)
(408) 374-4370
Entity
Organization
Contact information
Practice address
555 KNOWLES DR, SUITE 121, LOS GATOS, CA 95032-1549
(408) 374-4370
(408) 374-8526
Mailing address
555 KNOWLES DR, SUITE 121, LOS GATOS, CA 95032-1549
(408) 374-4370
(408) 374-8526
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
A67205
CA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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