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Individual

SCOTT WILLIAMS BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2450 SAMARITAN DR, SAN JOSE, CA 95124-3912
(408) 358-1855
(408) 628-0153
Mailing address
PO BOX 321273, LOS GATOS, CA 95032-0121
(408) 358-1855
(408) 628-0153

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A95409
CA
2086X0206X
Surgical Oncology Physician
Primary
A95409
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03344983
NY
Enumeration date
01/08/2007
Last updated
11/29/2021
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