Individual
JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
170 ENCINAL AVE, ATHERTON, CA 94027-3103
(650) 573-2222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C32041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C320410
—
CA
Enumeration date
11/21/2006
Last updated
08/23/2012
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