Organization
AXIOM MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Other names
Anatara Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
AHVIE HERSKOWITZ M.D. (MEDICAL DIRECTOR)
(415) 345-0099
Entity
Organization
Contact information
Practice address
1700 CALIFORNIA ST, SUITE 520, SAN FRANCISCO, CA 94109-4586
(415) 345-0099
(415) 345-0059
Mailing address
1700 CALIFORNIA ST, SUITE 520, SAN FRANCISCO, CA 94109-4586
(415) 345-0099
(415) 345-0059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C50117
CA
207ZP0101X
Anatomic Pathology Physician
C50117
CA
Other
Enumeration date
06/20/2012
Last updated
01/13/2015
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