Dr Agnieszka M Janisiewicz, MD | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 454-1000 | |
Not Available |
Full Name | Dr Agnieszka M Janisiewicz |
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Gender | Female |
Speciality | Otolaryngology |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467615104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | A108890 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Agnieszka M Janisiewicz, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Dr Agnieszka M Janisiewicz, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Dr. Ronald L. Rubenstein, M. D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 13847 E 14th St, #200, San Leandro, CA 94578 Phone: 510-352-5470 Fax: 510-352-3154 | |
Dr. Robert K Wu, M. D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 13847 E 14th St, #200, San Leandro, CA 94578 Phone: 510-352-5470 Fax: 510-352-3154 | |
Dr. Nancy Jones Bryant, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St Ste 110, San Leandro, CA 94578 Phone: 510-357-5566 |