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Organization
TAMALPAIS PEDIATRICS
Active
Organization
TAMALPAIS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON BRANCO MD (CORPORATE PRESIDENT)
(415) 461-0440
Entity
Organization
Contact information
Practice address
5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939
(415) 461-0440
(415) 461-3792
Mailing address
5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939
(415) 461-0440
(415) 461-3792
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
06/03/2015
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