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Individual

ANDREW INFOSINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 POTRERO AVENUE, RM 3C34, SAN FRANCISCO, CA 94110-3518
(415) 206-8934
(415) 206-3101
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G74606
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
G74606
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G746060
CA
01
P00210020
RAILROAD MEDICARE
Enumeration date
05/03/2006
Last updated
03/20/2012
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