NPI | 1063445187 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN FUGARO Owner / Provider 415-476-2752 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G48694) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2020-08-22 |