Individual
MARIANNE G ROCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3969 4TH AVE, SUITE 202, SAN DIEGO, CA 92103-3165
(619) 260-0060
(619) 260-0460
Mailing address
3969 4TH AVE STE 202, SAN DIEGO, CA 92103-3165
(619) 260-0060
(619) 260-0460
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A45939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100000
—
CA
01
—
ZZZ65166Z
BLUE SHIELD
CA
Enumeration date
09/02/2006
Last updated
10/10/2016
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