Individual
MR. PETER LAWRENCE BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1377 E HERNDON AVE, SUITE 104, FRESNO, CA 93720-3022
(559) 450-7455
(559) 450-7473
Mailing address
1377 E HERNDON AVE, SUITE 104, FRESNO, CA 93720-3022
(559) 450-7455
(559) 450-7473
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A52432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BO411X
PTAN
CA
Enumeration date
01/10/2006
Last updated
07/03/2013
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