Romualdo, Glenn R.

Romualdo, Glenn R. is an individual health care provider with primary practice located at 260 International Cir , San Jose CA 95119-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Romualdo, Glenn R. can be contacted via phone (408) 972-7000.

Contact Information

Primary practice address
260 International Cir San Jose CA 95119-1130
Phone: (408) 972-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X C50863 California

Profile Details

NPI number 1730229261
LBN Legal business name Romualdo, Glenn R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Dec 8th, 2021 - about 3 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 1730229261 NPPES
California MEDICAID 00C508630

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