C Jane Breeden Marmor in Stanford - Radiation Oncology

C Jane Breeden Marmor - NPI 1669458014

C Jane Breeden Marmor is a Radiation Oncology in Stanford, California. C Jane Breeden Marmor practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for C Jane Breeden Marmor is 1669458014. The last update date is 2007-07-08.

C Jane Breeden Marmor's current location address is 649 Mirada Ave, Stanford, California. You can contact this provider via phone number 6503230754 and fax number 6503230764. The mailing address for C Jane Breeden Marmor is 649 Mirada Ave, Stanford, California. To know further, please read the information below!

Provider Profile Detail

Provider Name C Jane Breeden Marmor
Address 649 Mirada Ave, Stanford, California
Phone Number 6503230754
Fax Number 6503230764
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669458014
Provider Enumeration Date 2005-12-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 649 Mirada Ave
City Stanford
State California (CA)
Post Code 943058476
Phone Number 6503230754
Fax Number 6503230764

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No G13979
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G139790 CA BLUE SHIELD
00G139790 CA --

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FAQs about C Jane Breeden Marmor

What is the unique 10-digit identifier code issued to C Jane Breeden Marmor by the Centers for Medicare & Medicaid Services?

The C Jane Breeden Marmor has been assigned the NPI (National Provider Identifier) 1669458014 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where C Jane Breeden Marmor's facilities are geographically located?

The facilities of C Jane Breeden Marmor are physically situated at the following location: 649 Mirada Ave, Stanford, CA, 943058476.

What is C Jane Breeden Marmor's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for C Jane Breeden Marmor is Radiation Oncology, and the taxonomy classification code that categorizes this area of expertise is 2085R0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669458014 to C Jane Breeden Marmor?

The C Jane Breeden Marmor received its 1669458014 assignment from the Centers for Medicare & Medicaid Services on 2005-12-19.

As of what date was the information pertaining to C Jane Breeden Marmor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to C Jane Breeden Marmor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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