Organization · Type 2 NPI

Greenbrae Dermatology, A Medical Corporation

Dermatology Physician · Greenbrae, CA

NPI number 1174898654 Active

Practice location

1300 S Eliseo Dr Ste 207
Greenbrae, CA 94904-2015

Fax (415) 925-9062

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XG53455 (CA)
Dermatology Physician 207N00000XA97783 (CA)
Dermatology Physician 207N00000XG40606 (CA)
MOHS-Micrographic Surgery Physician 207ND0101XA97783 (CA)
Dermatopathology Physician 207ND0900XG53455 (CA)
Dermatopathology Physician 207ND0900XA97783 (CA)
Pediatric Dermatology Physician 207NP0225XG53455 (CA)
Pediatric Dermatology Physician 207NP0225XA97783 (CA)
Pediatric Dermatology Physician 207NP0225XG40606 (CA)
Procedural Dermatology Physician 207NS0135XG53455 (CA)
Procedural Dermatology Physician 207NS0135XA97783 (CA)
Procedural Dermatology Physician 207NS0135XG40606 (CA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1174898654

Greenbrae Dermatology, A Medical Corporation's National Provider Identifier is 1174898654, issued on Mar 15, 2012. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Greenbrae, CA. The record was last updated on Jun 30, 2015.