Doctor Name: | DR. THOMAS JOSEPH SERGOTT |
NPI Number: | 1073723581 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C41345 |
Business Practice Address: | 6764 La Valle Plateada Rancho Santa Fe, CA - 92067 |
Business Phone Number: | 8587560555 |
Business Fax Number: | 8587564119 |
Mailing Address: | Po Box 239, RANCHO SANTA FE |
State: | CA |
Postal Code: | 920670239 |
Phone Number: | 8587560555 |
Fax Number: | 8587564119 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | C41345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |