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Individual

ROMEO C AGBAYANI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 S ELISEO DR, # 103, GREENBRAE, CA 94904-2133
(415) 461-9770
(415) 461-6744
Mailing address
1000 S ELISEO DR, # 103, GREENBRAE, CA 94904-2133
(415) 461-9770
(415) 461-6744

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G81045
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G810450
CA
01
040016483
MCR RAILROAD
CA
Enumeration date
11/16/2006
Last updated
01/02/2025
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