Organization
BISSONETTE,FREY,GREENBERG,MALKUS
Active
Other names
center for family health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS MATTHEW DAUB MD (MEDICAL DOCTOR)
(619) 464-1607
Entity
Organization
Contact information
Practice address
6280 JACKSON DR, STE 8, SAN DIEGO, CA 92119-3436
(619) 464-1607
(619) 461-8662
Mailing address
6280 JACKSON DR, STE 8, SAN DIEGO, CA 92119-3436
(619) 464-1607
(619) 461-8662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A77230
CA
Other
Enumeration date
06/27/2005
Last updated
08/22/2020
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