Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080A0000X | Adolescent Medicine | 16648 | AZ |
Y | 2080A0000X | Adolescent Medicine | G88450 | CA |
NPI | 1184657082 |
---|---|
Provider Name | Dr. Sanford C Newmark |
First Address | San Francisco, CA 94115 |
Second Address | San Francisco, CA 94115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 14/10/2016 |