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Organization
SMARTLOSS MEDICINE, INC.
Active
Organization
SMARTLOSS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN BOURKE M.D. (CEO)
(650) 701-1460
Entity
Organization
Contact information
Practice address
595 PRICE AVE, SECOND FLOOR, REDWOOD CITY, CA 94063-1464
(650) 701-1460
Mailing address
595 PRICE AVE, SECOND FLOOR, REDWOOD CITY, CA 94063-1464
(650) 701-1460
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A65939
CA
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
A65939
CA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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