Healthcare Provider Details

I. General information

NPI: 1619251345
Provider Name (Legal Business Name): ROBERT G. APTEKAR MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2011
Last Update Date: 09/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14651 S BASCOM AVE
LOS GATOS CA
95032-2014
US

IV. Provider business mailing address

14651 S BASCOM AVE
LOS GATOS CA
95032-2014
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-0444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG19391
License Number StateCA

VIII. Authorized Official

Name: ROBERT APTEKAR
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 408-356-0444