Organization
GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.
Active
Parent organization
GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.
Other names
Noninvasive Vascular Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.
Authorized official
DR. ROBERT O. GINGERY M.D. (PRESIDENT)
(510) 347-4700
Entity
Organization
Contact information
Practice address
13855 E 14TH ST, 2ND FLOOR, SAN LEANDRO, CA 94578-2611
(510) 347-4700
(510) 347-4712
Mailing address
13851 E 14TH ST, SUITE 202, SAN LEANDRO, CA 94578-2631
(510) 347-4700
(510) 347-3712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G23370
CA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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