Laurence Athos M D Inc

NPI 1225109358 - Internal Medicine - 207RP1001X

NPI Details
NPI 1225109358
Enumeration Date 11/12/2006
Last Updated 03/18/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAURENCE LAURENCE
Position PRESIDENT
Phone (510) 889-1677
Fax (510) 889-5823
Practice Location
19830 LAKE CHABOT RD
SUITE D
CASTRO VALLEY CA, 94546-4063, US
Phone (510) 889-1677
Fax (510) 889-5823
Business Location
19830 LAKE CHABOT RD
SUITE D
CASTRO VALLEY CA, 94546-4063, US
Phone (510) 889-1677
Fax (510) 889-5823
Toxanomy
Taxonomy Code 207RP1001X
License State California
License Number G34546
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According to our database, Laurence Athos M D Inc NPI is 1225109358, taxonomy code is 207RP1001X and license number is G34546, license state is located at California. Laurence Athos M D Inc physically located at 19830 Lake Chabot Rd, Castro Valley CA, 94546-4063. NPI Number 1033115704 has the healthcare provider type.

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1225109358 NPI number is provided on an as is basis without warranty of any kind. 1225109358 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence Athos M D Inc are for informational purposes only.