Organization
DERMATOLOGY AFFILIATES MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE A. BIREN M.D. (PRESIDENT)
(209) 524-9481
Entity
Organization
Contact information
Practice address
1324 NELSON AVE, STE B, MODESTO, CA 95350-5341
(209) 524-9481
(209) 524-9486
Mailing address
1324 NELSON AVE, STE B, MODESTO, CA 95350-5341
(209) 524-9481
(209) 524-9486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A19758
CA
Other
Enumeration date
05/31/2005
Last updated
01/22/2014
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