Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | E3614 | CA |
NPI | 1205875499 |
---|---|
Provider Name | Dr. Philip Bernard Sanfilippo II |
First Address | Redwood City, CA 94065-1017 |
Second Address | Daly City, CA 94015-2228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 09/03/2015 |