Individual
STEPHANIE MARIE GANCARCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 INTERNATIONAL CIR BLDG 4, SAN JOSE, CA 95119-1130
(408) 972-3030
Mailing address
260 INTERNATIONAL CIR BLDG 4, SAN JOSE, CA 95119-1130
(408) 972-3030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
266101
MA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
149309
CA
Other
Enumeration date
06/01/2011
Last updated
01/04/2022
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