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Organization

MARIN CARDIAC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT JOSEPH ELLIS M.D. (PRESIDENT)
(415) 386-4640
Entity
Organization

Contact information

Practice address
1 SHRADER ST, 570, SAN FRANCISCO, CA 94117-1016
(414) 386-4640
Mailing address
1 SHRADER ST, SAN FRANCISCO, CA 94117-1016
(414) 386-4640

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
10/13/2009
Last updated
10/13/2009
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