Individual provider · Type 1 NPI

Thomas Michael Polidore, MD

Surgery Physician · Roseville, CA

NPI number 1366424095 Active

Practice location

3 Medical Plaza Dr Ste 130
Roseville, CA 95661-3088

Call (916) 773-8750 Map

Fax (916) 797-4774

Mailing address

10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539

Other practice locations

  • 1225 Marshall St, #24, Crescent City, CA 95531-2281 · (707) 465-0884

Specialties and licenses

TaxonomyCodeLicense
Colon & Rectal Surgery Physician 208C00000XG83054 (CA)
Surgery Physician Primary 208600000XG83054 (CA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1366424095

Thomas Michael Polidore, MD's National Provider Identifier is 1366424095, issued on Nov 17, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Roseville, CA. The record was last updated on Jan 11, 2018.