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Organization

PLASTIC & RECONSTRUCTIVE SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT DONALD LEPORE M.D. (CFO)
(408) 356-4962
Entity
Organization

Contact information

Practice address
2581 SAMARITAN DR STE 102, SAN JOSE, CA 95124-4112
(408) 356-4962
(408) 356-4924
Mailing address
2581 SAMARITAN DR STE 102, SAN JOSE, CA 95124-4112
(408) 356-4962
(408) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2875
CA

Other

Enumeration date
02/12/2007
Last updated
03/21/2013
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