Organization
PULMONARY & CRITICAL CARE MEDICINE, INC.
Active
Other names
Merrill R Nisam, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILL RALPH NISAM MD (PRESIDENT)
(415) 924-1214
Entity
Organization
Contact information
Practice address
335 CARRERA DR, MILL VALLEY, CA 94941-3999
(415) 388-7210
Mailing address
335 CARRERA DR, MILL VALLEY, CA 94941-3999
(415) 388-7210
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A49947
CA
Other
Enumeration date
10/06/2005
Last updated
01/13/2011
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