Individual
GERALD SYDORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 SULLIVAN AVE RM 507, DALY CITY, CA 94015-2225
(650) 697-7003
(650) 697-7065
Mailing address
1828 EL CAMINO REAL, SUITE 611, BURLINGAME, CA 94010-3120
(650) 697-7003
(650) 697-7065
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G17750
CA
2086S0129X
Vascular Surgery Physician
Primary
G17750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G017750
LICENSE
CA
05
—
YYY34803Y
—
CA
Enumeration date
02/12/2007
Last updated
07/21/2022
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