Individual
DR. CHARLES M. DOLLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 DIVISADERO ST FL 2, SAN FRANCISCO, CA 94115-3010
(415) 353-7070
(415) 353-7021
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G48211
CA
207RX0202X
Medical Oncology Physician
Primary
G48211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G482110
—
CA
Enumeration date
06/26/2006
Last updated
11/29/2012
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