Individual
DR. JUDITH CLAIRE SCHIFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2414
Mailing address
2015 LIBERTY PARK AVE, MENLO PARK, CA 94025-6227
(650) 854-1313
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G23946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G239461
INDIVIDUAL PTAN
CA
01
—
ZZZ25753Z
GROUP PTAN
CA
Enumeration date
12/25/2006
Last updated
05/14/2008
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