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JON BIRNBAUM MD

>> Plastic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1679811491

Individual Registrant:
 JON  BIRNBAUM MD
Gender: M
Sole Proprietor

Location and contact information for practice:
28 MARIE ST  SAUSALITO, CA 94965-1864 US
Tel: 415-289-1043  Fax: --

Contact information for business:
28 MARIE ST  SAUSALITO, CA 94965-1864 US
Tel: 415-289-1043  Fax: --

Registration Information:
NPI: 1679811491
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XAllopathic & Osteopathic Physicians
Plastic Surgery
CAG15544

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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