Individual
C JANE BREEDEN MARMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, DEPT OF RADIATION ONCOLOGY SEQUOIA HOSPITAL, REDWOOD CITY, CA 94062-2799
(650) 245-3889
(650) 323-0764
Mailing address
649 MIRADA AVE, STANFORD, CA 94305-8476
(650) 323-0754
(650) 323-0764
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G13979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G139790
BLUE SHIELD
CA
05
—
00G139790
—
CA
Enumeration date
12/19/2005
Last updated
07/08/2007
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