Organization Name: | DONALD J. PROLO, M.D., INC. |
NPI Number: | 1104037423 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD J. PROLO (M.D.) |
Mailing Address: | 203 Di Salvo Ave San Jose |
State: | CA US |
Postal Code: | 951281628 |
Phone Number: | 4082954022 |
Fax Number: | 4082952562 |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G99280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |