Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A113641 | CA |
N | 208D00000X | General Practice Physician | 57008562 | OH |
NPI | 1043428113 |
---|---|
Provider Name | Margit C Tagliaferri |
First Address | San Francisco, CA 94126-6170 |
Second Address | San Francisco, CA 94105-1630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2007 |
Last Update Date | 07/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3600017 | (05) | OH |