Individual
DR. COSTANTINO T GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
173 N MORRISON AVE, SUITE C, SAN JOSE, CA 95126-2712
(408) 293-1992
(408) 293-0213
Mailing address
173 N MORRISON AVE, SUITE C, SAN JOSE, CA 95126-2712
(408) 293-1992
(408) 293-0213
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G36983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060040239
MEDICARE RR
CA
Enumeration date
07/05/2006
Last updated
08/17/2016
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