Individual
JONATHAN GARTH BRISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 S SAN MATEO DR, STE 213, SAN MATEO, CA 94401-3843
(650) 373-0170
(650) 347-8966
Mailing address
101 S SAN MATEO DR, STE 213, SAN MATEO, CA 94401-3843
(650) 373-0170
(650) 347-8966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G31838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G318381
—
CA
Enumeration date
10/26/2006
Last updated
07/09/2007
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