Marmor, C Jane Breeden
Marmor, C Jane Breeden is an individual health care provider with primary practice located at 170 Alameda De Las Pulgas Dept Of Radiation Oncology Sequoia Hospital, Redwood City CA 94062-2799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Marmor, C Jane Breeden can be contacted via phone (650) 245-3889.Contact Information
Primary practice address
170 Alameda De Las Pulgas Dept Of Radiation Oncology Sequoia Hospital
Redwood City CA 94062-2799
Phone: (650) 245-3889
Fax: (650) 323-0764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G13979 | California |
Profile Details
| NPI number | 1669458014 |
|---|---|
| LBN Legal business name | Marmor, C Jane Breeden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669458014 | NPPES |
| California | Other | 00G139790 | BLUE SHIELD |
| California | MEDICAID | 00G139790 | BLUE SHIELD |
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