Organization
SAMARITAN PLASTIC SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAETON NOLA MD (PRESIDENT)
(408) 358-3164
Entity
Organization
Contact information
Practice address
2550 SAMARITAN DR, SAN JOSE, CA 95124-4104
(408) 358-3164
(408) 358-1088
Mailing address
2550 SAMARITAN DR, SAN JOSE, CA 95124-4104
(408) 358-3164
(408) 358-1088
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERTIFICATION # 1602
AAAASF
—
Enumeration date
06/26/2007
Last updated
08/22/2020
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