Mary C Brzostowicz in Daly City - Specialist

Mary C Brzostowicz - NPI 1487683819

Mary C Brzostowicz is a Specialist in Daly City, California. Mary C Brzostowicz practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mary C Brzostowicz is 1487683819. The last update date is 2010-07-27.

Mary C Brzostowicz's current location address is 901 Campus Dr, Daly City, California. You can contact this provider via phone number 6507568600. The mailing address for Mary C Brzostowicz is 901 Campus Dr, Daly City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary C Brzostowicz
Address 901 Campus Dr, Daly City, California
Phone Number 6507568600
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1487683819
Provider Enumeration Date 2006-06-30
Last Updated Date 2010-07-27

Provider Mailing Address Detail

Address 901 Campus Dr
City Daly City
State California (CA)
Post Code 940154900
Phone Number 6507568600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G369130
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G369130 CA --

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FAQs about Mary C Brzostowicz

What is the unique provider identifier assigned to Mary C Brzostowicz?

The Mary C Brzostowicz has been issued the NPI (National Provider Identifier) 1487683819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Mary C Brzostowicz is physically located?

The Mary C Brzostowicz is situated at the following address: 901 Campus Dr, Daly City, CA 940154900.

What is Mary C Brzostowicz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary C Brzostowicz is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date was the 1487683819 assigned to Mary C Brzostowicz?

The Mary C Brzostowicz was issued its 1487683819 on 2006-06-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mary C Brzostowicz most recently updated or revised?

The information pertaining to Mary C Brzostowicz, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-27.

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