Organization
ALBERT L. PISANI MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT L PISANI MD (PRESIDENT)
(650) 722-8636
Entity
Organization
Contact information
Practice address
3519 ALTAMONT WAY, REDWOOD CITY, CA 94062-3105
(650) 722-8636
Mailing address
3519 ALTAMONT WAY, REDWOOD CITY, CA 94062-3105
(650) 722-8636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G067056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18764
MEDICARE GROUP
CA
Enumeration date
02/08/2008
Last updated
02/08/2008
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