Waldman, Frederic M

Waldman, Frederic M is an individual health care provider with primary practice located at 1600 Divisadero Street , San Francisco CA 94143-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Waldman, Frederic M can be contacted via phone (415) 353-7241.

Contact Information

Primary practice address
1600 Divisadero Street San Francisco CA 94143-0001
Phone: (415) 353-7241
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X G47815 California

Profile Details

NPI number 1053377424
LBN Legal business name Waldman, Frederic M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053377424 NPPES
California MEDICAID 00G478150

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