Organization
PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT D LEPORE JR. MD (PRESIDENT)
(888) 566-6663
Entity
Organization
Contact information
Practice address
2581 SAMARITAN DR STE 102, SAN JOSE, CA 95124-4112
(888) 566-6663
Mailing address
2581 SAMARITAN DR STE 102, SAN JOSE, CA 95124-4112
(888) 566-6663
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G048588
CA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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