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Organization
VDMD MEDICAL INC
Active
Organization
VDMD MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASILI DZERHACHOU MD (PRESIDENT/OWNER)
(904) 253-9756
Entity
Organization
Contact information
Practice address
1477 GROVE ST, SAN FRANCISCO, CA 94117-1421
(415) 563-0565
Mailing address
134 SAINT PATRICKS DR, DANVILLE, CA 94526-5118
(904) 253-9756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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