Organization
EDGARDO G. ALICAWAY, M. D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARDO GENEBRALDO ALICAWAY M. D. (OWNER)
(650) 756-2597
Entity
Organization
Contact information
Practice address
1800 SULLIVAN AVE, SUITE 508, DALY CITY, CA 94015-2228
(650) 756-2597
(650) 756-6371
Mailing address
1800 SULLIVAN AVE, SUITE 508, DALY CITY, CA 94015-2228
(650) 756-2597
(650) 756-6371
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A50500
CA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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