Doctor Name: | DR. MARIO N CORDERO |
NPI Number: | 1194872861 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A34509 |
Business Practice Address: | 2030 Forest Ave Suite 100 San Jose, CA - 951284833 |
Business Phone Number: | 4089931814 |
Business Fax Number: | 4089931822 |
Mailing Address: | Po Box 5040, SAN JOSE |
State: | CA |
Postal Code: | 951505040 |
Phone Number: | 4084489211 |
Fax Number: | 4084482743 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A34509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |