Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A48309 | CA |
NPI | 1164511002 |
---|---|
Provider Name | Carol A Glaser |
First Address | San Francisco, CA 94143-2203 |
Second Address | San Francisco, CA 94143-2203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 08/07/2007 |