Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | A79948 | CA |
NPI | 1801000815 |
---|---|
Provider Name | Dr. Frederick Abruzzo |
First Address | San Francisco, CA 94103-2424 |
Second Address | San Francisco, CA 94103-2424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |