Organization
IRENE BEISSNER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE BEISSNER M.D. (PRESIDENT OF CORPORATION)
(707) 864-5556
Entity
Organization
Contact information
Practice address
1100 ROSE DR, BENICIA, CA 94510-3623
(707) 745-1720
(707) 745-1902
Mailing address
1514 ROCKVILLE RD, FAIRFIELD, CA 94534-1330
(707) 864-5556
(707) 745-1902
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C42256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23230
AMERICAN COLLEGE OF OB/GYN
CA
Enumeration date
07/31/2009
Last updated
07/31/2009
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