Individual
CAROL A. TABAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1769 ESCALANTE WAY, BURLINGAME, CA 94010-5807
(650) 697-8996
Mailing address
1769 ESCALANTE WAY, BURLINGAME, CA 94010-5807
(650) 697-8996
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G35466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G354660
—
CA
Enumeration date
11/01/2006
Last updated
05/09/2016
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