Dwight David Gaggero, MD
Emergency Medicine in San Mateo, CA. Individual provider (NPI-1).
NPI number1366433153
StatusActive
Last updated in NPPESDec 27, 2022
Details
- NPI
- 1366433153
- Entity type
- Individual (NPI-1)
- Name
- Dwight David Gaggero
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2005
- Certification date
- Dec 27, 2022
- Last updated
- Dec 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | G58937 | CA | Yes |
Practice location
3460 Glendora DrSan Mateo, CA 94403-3943
Phone 650-759-2687 · Fax 650-572-9654
Mailing address
3460 Glendora DrSan Mateo, CA 94403-3943
Phone 650-759-2687 · Fax 650-572-9654
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All 27 Emergency Medicine Physician providers in San Mateo · All 4,655 providers in San Mateo
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