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Organization

SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP

Active
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Organization

SAN FRANCISCO DIGESTIVE DISEASE MEDICAL GROUP INC A PROF CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY FUNG MD (PRESIDENT)
(415) 362-3336
Entity
Organization

Contact information

Practice address
1 SHRADER ST STE 500, SAN FRANCISCO, CA 94117-1044
(415) 362-3336
(415) 362-7542
Mailing address
1 SHRADER ST STE 500, SAN FRANCISCO, CA 94117-1044
(415) 362-3336
(415) 362-7542

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417017435
MEDICARE NPI
CA
Enumeration date
12/11/2006
Last updated
05/14/2019
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