Individual
KEVIN MASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(402) 770-2357
Mailing address
857 UNION ST APT B, SAN FRANCISCO, CA 94133-2618
(402) 770-2357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A122087
CA
Other
Enumeration date
05/26/2011
Last updated
10/17/2014
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