Individual
ELAINE ENGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
G54301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G543010
—
CA
Enumeration date
11/20/2006
Last updated
07/08/2007
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