Organization
EDGARDO G. ALICAWAY, M. D., P. C.
Active
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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