Individual
DR. JOHN MAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 924-2515
(415) 924-2661
Mailing address
5 BON AIR ROAD #101, LARKSPUR, CA 94909
(415) 924-2515
(415) 924-2661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A55909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A5590900
—
CA
Enumeration date
04/12/2006
Last updated
03/17/2018
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