MARY J IM

STANFORD, CA
NPI1952540502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  C168060)
Additional Taxonomies207L00000X Anesthesiology
(Licence: PA  MD436159)
Enumeration Date2009-02-05
Last Update Date2020-08-13
Business Address
MARY J IM M.D.
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-4000
Mailing Address
MARY J IM M.D.
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-3326