Individual
DR. BAL BAGWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 MENLO AVE, MENLO PARK, CA 94025-4701
(650) 322-2443
Mailing address
631 MENLO AVE, MENLO PARK, CA 94025-4701
(650) 322-2443
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G29999
CA
Other
Enumeration date
10/17/2007
Last updated
03/09/2009
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