Individual
DR. MATTHEW DOMINIC MINGRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 POST ST, SUITE 6, SAN FRANCISCO, CA 94104-4546
(408) 374-4370
(415) 926-6390
Mailing address
PO BOX 687, LOS GATOS, CA 95031-0687
(408) 374-4370
(415) 926-6390
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A67205
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A67205
CA
Other
Enumeration date
04/03/2007
Last updated
08/14/2012
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