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Individual

MICHAEL A FAMULARO

Active
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Individual

MICHAEL A FAMULARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACC

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G29696
CA
207RI0011X
Interventional Cardiology Physician
Primary
G29696
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110006126
RAILROAD MEDICARE
CA
05
GR0068680
CA
01
ZZZ28458Z
BLUES SHIELD
CA
Enumeration date
01/04/2006
Last updated
01/28/2015
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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