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Organization

DERMATOLOGY CONSULTANTS OF MARIN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY S KOBALTER M.D. (SECRETARY)
(415) 499-0100
Entity
Organization

Contact information

Practice address
5000 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4184
(415) 499-0100
(415) 499-0290
Mailing address
5000 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4184
(415) 499-0100
(415) 499-0290

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
039815
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039815
BUSINESS LICENSE
CA
Enumeration date
07/10/2006
Last updated
02/29/2008
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