Scagliola, Robert John

Scagliola, Robert John is an individual health care provider with primary practice located at 1740 Marco Polo Way #10, Burlingame CA 94010. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Scagliola, Robert John can be contacted via phone (650) 697-3011.

Contact Information

Primary practice address
1740 Marco Polo Way #10 Burlingame CA 94010
Fax: (650) 697-5273
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2269 California

Profile Details

NPI number 1043282825
LBN Legal business name Scagliola, Robert John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 7th, 2023 - about last year

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 1043282825 NPPES
California MEDICAID 000E22690

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