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DAVID P GHILARDUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 498-5710
Mailing address
2680 HANOVER ST, PALO ALTO, CA 94304-1117

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A83897
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A838970
BLUE SHIELD
CA
05
00A838970
CA
01
P00272015
RAILROAD MEDICARE
CA
Enumeration date
06/13/2006
Last updated
03/11/2008
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