Individual
DR. MARC A. DALL'ERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 DIVISADERO STREET, SAN FRANCISCO, CA 94143-1695
(415) 353-7171
(415) 353-7093
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A95571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A955710
—
CA
Enumeration date
10/04/2006
Last updated
08/06/2008
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