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DR. MICHAEL R. CHIAROTTINO M.D.

Addiction Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1124341060

Individual Registrant:
DR. MICHAEL R. CHIAROTTINO M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
1750 BRIDGEWAY SUITE B105 SAUSALITO, CA 94965-1993 US
Tel: 415-331-2113  Fax: 415-331-2114

Contact information for business:
1750 BRIDGEWAY SUITE B105 SAUSALITO, CA 94965-1993 US
Tel: 415-331-2113  Fax: 415-331-2114

Registration Information:
NPI: 1124341060
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0401XAllopathic & Osteopathic Physicians
Family Medicine
Addiction Medicine
CA#G39528
N208VP0000XAllopathic & Osteopathic Physicians
Pain Medicine
CAG39528

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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