Individual
DR. THOMAS J. MAMPALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 APPIAN WAY, SUITE 100, PINOLE, CA 94564-2583
(510) 724-9888
(510) 724-9856
Mailing address
2150 APPIAN WAY, SUITE 100, PINOLE, CA 94564-2583
(510) 724-9888
(510) 724-9856
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G56217
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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