SAMUEL JACOB BASTACKY

SAN FRANCISCO, CA
NPI1346392156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  G31957)
Enumeration Date2007-01-18
Last Update Date2011-09-22
Business Address
-- SAMUEL JACOB BASTACKY MD
2200 OFARRELL ST
SAN FRANCISCO, CA 94115-3357
Phone number: 415-833-2000
Mailing Address
-- SAMUEL JACOB BASTACKY MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262