| Drew E Maris Md Professional Corporation | |
|
155 Andersen Dr Ste 1108 San Rafael CA 94901-3999 | |
| (415) 455-0914 | |
| (415) 454-4315 |
| Full Name | Drew E Maris Md Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 155 Andersen Dr Ste 1108, San Rafael, California |
| Authorized Official Name and Position | Drew E Maris (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8315887816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drew E Maris Md Professional Corporation 155 Andersen Dr Ste 1108 San Rafael CA 94901-3999 Ph: (415) 455-0914 | Drew E Maris Md Professional Corporation 155 Andersen Dr Ste 1108 San Rafael CA 94901-3999 Ph: (415) 455-0914 |
| NPI Number | 1851033674 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0143607069 |
|---|---|
| Medicare Enrollment ID | O20220516001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851033674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Drew E Maris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467538397 PECOS PAC ID: 6608941141 Enrollment ID: I20080819000533 |
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