Organization
TCR MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J. PIACQUADIO M.D. (PRESIDENT)
(858) 571-6800
Entity
Organization
Contact information
Practice address
9025 BALBOA AVE, SUITE 105, SAN DIEGO, CA 92123-1520
(858) 571-6800
Mailing address
9025 BALBOA AVE, SUITE 105, SAN DIEGO, CA 92123-1520
(858) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G57303
CA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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