| NPI | 1154486421 |
|---|---|
| Former Legal Business Name | STONESTOWN PEDIATRIC MEDICAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MITCHELL C SOLLOD Secretary 415-566-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA FNP30374) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA C27394) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-01-16 |