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Organization

THE FACULTY PRACTICE, P.C.

Active
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Organization

THE FACULTY PRACTICE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIANA BRADLEY (INTAKE COORDINATOR)
(646) 883-6640
Entity
Organization

Contact information

Practice address
535 RAMONA ST STE 2, PALO ALTO, CA 94301-1724
(646) 883-6640
Mailing address
PO BOX 1252, NEW YORK, NY 10021-0038

Taxonomy

Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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