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Organization

ROBERT J. STALLONE M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT J. STALLONE M.D. (PRESIDENT)
(510) 549-9192
Entity
Organization

Contact information

Practice address
2999 REGENT ST, SUITE 622, BERKELEY, CA 94705-2190
(510) 549-9192
(510) 549-9193
Mailing address
2999 REGENT ST, SUITE 622, BERKELEY, CA 94705-2190
(510) 549-9192
(510) 549-9193

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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