Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 162235 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | C40176 | CA |
NPI | 1215053962 |
---|---|
Provider Name | Vincent Turover Brandeis |
First Address | Lodi, CA 95241-1090 |
Second Address | Stockton, CA 95204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 03/12/2019 |