Individual
DR. EDGARDO ALICAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 SULLIVAN AVE, SUITE 508, DALY CITY, CA 94015-2228
(650) 756-2597
Mailing address
1800 SULLIVAN AVE, SUITE 508, DALY CITY, CA 94015-2228
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A50500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A505000
—
CA
Enumeration date
05/30/2006
Last updated
08/07/2007
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