Individual
BRUCE L MALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 344-1121
(650) 344-1069
Mailing address
280 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 344-1121
(650) 344-1069
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G40607
CA
207ND0900X
Dermatopathology Physician
G40607
CA
207NS0135X
Procedural Dermatology Physician
G40607
CA
Other
Enumeration date
09/26/2006
Last updated
03/21/2013
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