Individual
DR. ROBERT O. GINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13851 E 14TH ST, SUITE 202, SAN LEANDRO, CA 94578-2627
(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
2086S0129X
Vascular Surgery Physician
Primary
G23370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417974460
MEDICARE NPI #
CA
Enumeration date
07/16/2006
Last updated
09/27/2012
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