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ROMEO C AGBAYANI MD

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1205909603

Individual Registrant:
 ROMEO C AGBAYANI MD
Gender: M
Sole Proprietor

Location and contact information for practice:
1000 S ELISEO DR # 103 GREENBRAE, CA 94904-2133 US
Tel: 415-461-9770  Fax: 415-461-6744

Contact information for business:
1000 S ELISEO DR # 103 GREENBRAE, CA 94904-2133 US
Tel: 415-461-9770  Fax: 415-461-6744

Registration Information:
NPI: 1205909603
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208600000XAllopathic & Osteopathic Physicians
Surgery
CAG81045
Y207Y00000XAllopathic & Osteopathic Physicians
Otolaryngology
CAG81045

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MCR RAILROAD040016483CA01
00G810450CA05




HEALTH CARE JOBS CA - Page 1



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