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Individual

BENJAMIN G ROMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94110-3215
(415) 537-8600
(415) 369-1371
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 537-8600
(415) 369-1371

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18196
MT
207RC0000X
Cardiovascular Disease Physician
252877
NY
207RC0000X
Cardiovascular Disease Physician
A114506
CA
207RI0011X
Interventional Cardiology Physician
301871
LA
207RI0011X
Interventional Cardiology Physician
Primary
786894
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A114506
STATE MEDICAL LICENSE
CA
Enumeration date
07/19/2006
Last updated
06/25/2021
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