Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G25466 | CA |
NPI | 1598842429 |
---|---|
Provider Name | Joseph F. D'amico |
First Address | Oakland, CA 94612-3429 |
Second Address | Santa Clara, CA 95051-5329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 04/12/2007 |