Provider Demographics
NPI:1699877977
Name:CONLON, DONALD J (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:J
Last Name:CONLON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:340 DARDANELLI LN
Mailing Address - Street 2:SUITE 13
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1418
Mailing Address - Country:US
Mailing Address - Phone:408-370-7200
Mailing Address - Fax:408-370-0935
Practice Address - Street 1:340 DARDANELLI LN
Practice Address - Street 2:SUITE 13
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1418
Practice Address - Country:US
Practice Address - Phone:408-370-7200
Practice Address - Fax:408-370-0935
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC186470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA31302Medicare UPIN