Organization
MARIN MEDICAL LABORATORIES
Active
Other names
MARIN GENERAL HOSPITAL PATH DEPT.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WILLIAM WASSERSTEIN MD (MANAGING PARTNER)
(415) 925-7174
Entity
Organization
Contact information
Practice address
250 BON AIR ROAD, GREENBRAE, CA 94904
(415) 925-7174
(415) 461-7228
Mailing address
1615 HILL RD STE B, NOVATO, CA 94947-4338
(415) 898-7649
(415) 898-0870
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
CLF787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0014390
—
CA
Enumeration date
09/15/2006
Last updated
08/11/2022
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