Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | G065014 | CA |
NPI | 1134297658 |
---|---|
Provider Name | Dr. John E Cronin |
First Address | Redwood City, CA 94061 |
Second Address | Woodside, CA 94062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/07/2007 |