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Individual

DR. CAROLYN BRADNER JASIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1001 POTRERO AVE, MAIL STOP 6E, SAN FRANCISCO, CA 94110-3518
(415) 206-8361
(415) 206-3686
Mailing address
1001 POTRERO AVE, MAIL STOP 6E, SAN FRANCISCO, CA 94110-3518
(415) 206-8361
(415) 206-3686

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A89172
CA
2080A0000X
Pediatric Adolescent Medicine Physician
A89172
CA

Other

Enumeration date
11/21/2006
Last updated
12/28/2011
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