Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | A117688 | CA |
NPI | 1790001923 |
---|---|
Provider Name | Josephine Ann Czechowicz |
First Address | San Francisco, CA 94158 |
Second Address | San Francisco, CA 94158-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 28/02/2017 |