Individual
DR. DAVID E. WANDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 EL CAMINO REAL STE 205, BURLINGAME, CA 94010-3226
(650) 259-5050
(650) 697-1317
Mailing address
1720 EL CAMINO REAL STE 205, BURLINGAME, CA 94010-3226
(650) 259-5050
(650) 697-1317
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A90833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A908330
—
CA
Enumeration date
07/10/2006
Last updated
12/25/2013
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