Individual
DR. HOWARD I. MAIBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 DIVISADERO ST FL 3, SAN FRANCISCO, CA 94143-0001
(415) 353-7800
(415) 353-7870
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C22239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C222390
—
CA
Enumeration date
07/08/2006
Last updated
07/09/2007
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