Organization
NOVATO ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL N MARCUS MD PH D (CO-FOUNDER)
(650) 496-4141
Entity
Organization
Contact information
Practice address
7595 REDWOOD BLVD, SUITE 106, NOVATO, CA 94945
(415) 892-3414
(415) 892-3499
Mailing address
PO BOX 39000, DEPT 33691-02, SAN FRANCISCO, CA 94139
(650) 493-7729
(650) 493-7959
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
110000505
CA
Other
Enumeration date
08/15/2006
Last updated
07/13/2011
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