Individual
DR. EMILY ROTHBAUM PERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 PARNASSUS AVE UNIVERSITY OF CALIFORNIA SAN FRANCISC, MU408E, BOX 0136 PEDIATRIC GASTROENTEROLOGY, SAN FRANCISCO, CA 94143
(415) 476-5892
(415) 476-1343
Mailing address
500 PARNASSUS AVE, MU408E BOX 0136, SAN FRANCISCO, CA 94143
(415) 476-5892
(415) 476-1343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
245251-1
NY
208000000X
Pediatrics Physician
A108998
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
A108998
CA
Other
Enumeration date
05/20/2008
Last updated
02/03/2011
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