Organization
ARCH STREET MEDICAL ASSOCIATES
Active
Other names
Arch Street Medical Associates, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J BULLUCK MD (CEO)
(650) 366-1141
Entity
Organization
Contact information
Practice address
143 BIRCH STREET, REDWOOD CITY, CA 94062
(650) 366-1141
(650) 366-1265
Mailing address
143 BIRCH STREET, REDWOOD CITY, CA 94062
(650) 366-1141
(650) 366-1265
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A31093
CA
Other
Enumeration date
02/10/2011
Last updated
02/11/2011
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