Mancusi-Ungaro, Harold R.

Mancusi-Ungaro, Harold R. is an individual health care provider with primary practice located at 3333 Mendocino Ave Suite 130, Santa Rosa CA 95403-2261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mancusi-Ungaro, Harold R. can be contacted via phone (707) 566-5288.

Contact Information

Primary practice address
3333 Mendocino Ave Suite 130 Santa Rosa CA 95403-2261
Phone: (707) 566-5288
Fax: (707) 566-5471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G32831 California

Profile Details

NPI number 1245382050
LBN Legal business name Mancusi-Ungaro, Harold R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jun 8th, 2011 - about 14 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 1245382050 NPPES
California MEDICAID 00G328310

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