| |
505 San Marin Dr Ste A130, Novato, CA 94945-1372 | |
(415) 456-4327 | |
(415) 480-6705 |
Full Name | |
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Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 505 San Marin Dr Ste A130, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093066441 | NPI | - | NPPES |
Provider Name | Lee M Weissman |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1033410501 PECOS PAC ID: 2466620729 Enrollment ID: I20110713000196 |
Mailing Address | Practice Location Address |
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2154 4th St, Suite B, San Rafael, CA 94901-2684 Ph: (415) 456-4327 | 505 San Marin Dr Ste A130, Novato, CA 94945-1372 Ph: (415) 456-4327 |