Individual
MADELEINE CECILE BLAUROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 321-4121
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
G81508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G81508
STATE LICENSE
CA
Enumeration date
10/27/2006
Last updated
02/12/2021
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