Organization
STANFORD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA L PASQUINELLI (PROVIDER ENROLLMENT COORDINATOR)
(650) 498-5710
Entity
Organization
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 498-5710
Mailing address
2680 HANOVER ST, PALO ALTO, CA 94304-1117
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
10/03/2007
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