Organization
KENNETH T ROOST MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH TAYLOR ROOST MD (PRESIDENT)
(650) 697-9146
Entity
Organization
Contact information
Practice address
1828 EL CAMINO REAL, #604, BURLINGAME, CA 94010-3103
(650) 697-9146
Mailing address
1828 EL CAMINO REAL, #604, BURLINGAME, CA 94010-3103
(650) 697-9146
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G27727
CA
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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