Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | G48316 | CA |
N | 208000000X | Pediatrician | G48316 | CA |
N | 2080P0203X | Pediatric Critical Care Doctor | G48316 | CA |
NPI | 1285699413 |
---|---|
Provider Name | Dr. Maurice S Zwass |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G483160 | (05) | CA |
E38692 | (02) | CA |