Gaggero, Dwight David

Gaggero, Dwight David is an individual health care provider with primary practice located at 3460 Glendora Dr , San Mateo CA 94403-3943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gaggero, Dwight David can be contacted via phone (650) 759-2687.

Contact Information

Primary practice address
3460 Glendora Dr San Mateo CA 94403-3943
Phone: (650) 759-2687
Fax: (650) 572-9654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G58937 California

Profile Details

NPI number 1366433153
LBN Legal business name Gaggero, Dwight David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Dec 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366433153 NPPES
California MEDICAID 00G589370
California Other 00G589370

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