Organization
STANLEY A. SHATSKY, M.D. A PROFESSIONAL CORPORATION
Active
Organization
STANLEY A. SHATSKY, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BAKER (MANAGER)
(408) 780-4745
Entity
Organization
Contact information
Practice address
2550 SAMARITAN DR STE D, SAN JOSE, CA 95124-4104
(408) 780-4745
(408) 709-2011
Mailing address
PO BOX 3147, LOS ALTOS, CA 94024-0147
(408) 780-4745
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G41499
CA
Other
Enumeration date
06/11/2007
Last updated
04/03/2019
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