Organization
F. RICHARD NOODLEMAN MD A PROFESSIONAL CORPORATION
Active
Organization
F. RICHARD NOODLEMAN MD A PROFESSIONAL CORPORATION
Active
Other names
Age Defy Dermatology and Wellness Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK RICHARD NOODLEMAN MD (MEDICAL DIRECTOR)
(408) 559-0988
Entity
Organization
Contact information
Practice address
3803 S BASCOM AVE, SUITE 200, CAMPBELL, CA 95008-7317
(408) 559-0988
(408) 369-4263
Mailing address
3803 S BASCOM AVE, SUITE 200, CAMPBELL, CA 95008-7317
(408) 559-0988
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G422290
CA
Other
Enumeration date
09/11/2007
Last updated
10/24/2007
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