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Individual

RAYMOND FAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
929 CLAY ST, #505, SAN FRANCISCO, CA 94108-1556
(415) 392-9690
(415) 392-9695
Mailing address
929 CLAY ST, #505, SAN FRANCISCO, CA 94108-1556
(415) 392-9690
(415) 392-9695

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A22812
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2080416
CA
Enumeration date
08/23/2005
Last updated
12/11/2008
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