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1346392156
SAMUEL JACOB BASTACKY
SAN FRANCISCO, CA
NPI
1346392156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G31957)
Enumeration Date
2007-01-18
Last Update Date
2011-09-22
Business Address
-- SAMUEL JACOB BASTACKY MD
2200 OFARRELL ST
SAN FRANCISCO, CA 94115-3357
Phone number: 415-833-2000
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Mailing Address
-- SAMUEL JACOB BASTACKY MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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