Individual
JENNIFER A BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 DI SALVO AVE, SUITE A, SAN JOSE, CA 95128-1717
(408) 418-8780
(650) 423-2976
Mailing address
123 DI SALVO AVE, SUITE A, SAN JOSE, CA 95128-1717
(408) 418-8780
(650) 423-2976
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A92659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A92659
MEDICAL LICENSE
CA
Enumeration date
04/03/2007
Last updated
09/05/2010
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