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Individual

DR. THOMAS J IMPERATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8120 TIMBERLAKE WAY, #101, SACRAMENTO, CA 95823-5412
(916) 423-2124
(916) 423-2127
Mailing address
8120 TIMBERLAKE WAY, #101, SACRAMENTO, CA 95823-5412
(916) 423-2124
(916) 423-2127

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00A245440
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A245440
CA
01
100002784
RAILROAD MEDICARE
CA
Enumeration date
02/17/2006
Last updated
10/31/2017
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