Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 50479 | WI |
NPI | 1508062431 |
---|---|
Provider Name | Janet M Bellingham |
First Address | San Francisco, CA 94115-1932 |
Second Address | San Francisco, CA 94115-1932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 15/11/2013 |