Organization
UNION SQUARE DERMATOLOGY A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAIL CHARLES REESE M.D. (PHYSICIAN)
(415) 393-0550
Entity
Organization
Contact information
Practice address
450 SUTTER ST, SUITE 830, SAN FRANCISCO, CA 94108-3915
(415) 393-0550
(415) 393-9956
Mailing address
450 SUTTER ST, SUITE 830, SAN FRANCISCO, CA 94108-3915
(415) 393-0550
(415) 393-9956
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G 80000
CA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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