Individual
DR. MARK JORDAN SONTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 MAIN ST, SUITE C, REDWOOD CITY, CA 94063-1729
(650) 306-9490
(650) 306-0250
Mailing address
363 MAIN ST, SUITE C, REDWOOD CITY, CA 94063-1729
(650) 306-9490
(650) 306-0250
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G052976
CA
Other
Enumeration date
12/08/2006
Last updated
05/28/2009
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