| Martin L. Rossman, M.d., A Professional Corporation | |
|
1341 S Eliseo Dr Suite 350 Greenbrae CA 94904-2000 | |
| (415) 925-8600 | |
| (415) 925-8604 |
| Full Name | Martin L. Rossman, M.d., A Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 1341 S Eliseo Dr, Greenbrae, California |
| Authorized Official Name and Position | Martin L. Rossman (OWNER) |
| Authorized Official Contact | 4159258600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin L. Rossman, M.d., A Professional Corporation 1341 S Eliseo Dr Suite 350 Greenbrae CA 94904-2000 Ph: (415) 925-8600 | Martin L. Rossman, M.d., A Professional Corporation 1341 S Eliseo Dr Suite 350 Greenbrae CA 94904-2000 Ph: (415) 925-8600 |
| NPI Number | 1124310636 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 09/15/2011 |
| Medicare PECOS PAC ID | 3476724733 |
|---|---|
| Medicare Enrollment ID | O20110916000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124310636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C032668 (California) | Primary |
| Provider Name | Martin L Rossman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235238791 PECOS PAC ID: 0941348866 Enrollment ID: I20110916000084 |
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