Dulong, Mark J.

Dulong, Mark J. is an individual health care provider with primary practice located at 710 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Dulong, Mark J. can be contacted via phone (408) 851-1000.

Contact Information

Primary practice address
710 Lawrence Expy Santa Clara CA 95051-5173
Phone: (408) 851-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G62896 California

Profile Details

NPI number 1255405858
LBN Legal business name Dulong, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 17th, 2021 - about 4 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 1255405858 NPPES
California MEDICAID 00G628960

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