Provider Demographics
NPI:1467875351
Name:CHRISTOPHER J. CIRONE, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CHRISTOPHER J. CIRONE, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:CIRONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-371-7777
Mailing Address - Street 1:14880 LOS GATOS BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2011
Mailing Address - Country:US
Mailing Address - Phone:408-371-7777
Mailing Address - Fax:408-371-7147
Practice Address - Street 1:14880 LOS GATOS BLVD
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2011
Practice Address - Country:US
Practice Address - Phone:408-371-7777
Practice Address - Fax:408-371-7147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty