Individual
JUDY D MAMACLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4131 GEARY BLVD, SAN FRANCISCO, CA 94118-3101
(415) 418-9114
Mailing address
4131 GEARY BLVD, SAN FRANCISCO, CA 94118-3101
(415) 418-9114
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
040859
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001408592
—
CT
Enumeration date
06/22/2005
Last updated
03/15/2025
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