NPI | 1033390869 |
---|---|
Doing Business As | RAYMOND A. FIDALEO, M.D. |
Entity Type | Organization |
Authorized Contact | RAYMOND A. FIDALEO Owner 858-694-8399 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G11749) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2009-05-28 |