Organization
CENTER FOR GYNECOLOGIC ONCOLOGY AND PELVIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MING-TEH DWIGHT CHEN M.D. (ADMINISTRATIVE PARTNER)
(408) 378-6545
Entity
Organization
Contact information
Practice address
815 POLLARD RD, ATTN: CGOPS, LOS GATOS, CA 95032-1438
(408) 378-6545
(408) 378-6550
Mailing address
815 POLLARD RD, ATTN: CGOPS, LOS GATOS, CA 95032-1438
(408) 378-6545
(408) 378-6550
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G45093, G83323
CA
207VX0201X
Gynecologic Oncology Physician
G64782, G21751
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101630
—
CA
Enumeration date
08/09/2006
Last updated
09/24/2008
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