Greenbrae Dermatology, a Medical Corporation
Greenbrae Dermatology, a Medical Corporation is a Dermatology Physician in Greenbrae, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 12
Practice location Address checks out
1300 S Eliseo Dr Ste 207Greenbrae, CA 94904-2015
Phone: (415) 925-0550
Fax: (415) 925-9062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence G53455 (CA) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence A97783 (CA) |
| Dermatology Physician | Taxonomy 207N00000X · Licence G40606 (CA) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence A97783 (CA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence G53455 (CA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence A97783 (CA) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence G53455 (CA) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence A97783 (CA) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence G40606 (CA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence G53455 (CA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence A97783 (CA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence G40606 (CA) |
Record details
| NPI number | 1174898654 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lucretia Lewitt — Practice Manager · (415) 925-0550 |
| NPI enumerated | March 15, 2012 |
| Last updated in NPPES | June 30, 2015 |
| Mailing address | 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015 |
Other providers in Greenbrae
-
John L. Maddox, MD
1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015 · (415) 925-0550
-
Dr. Benjamin Joseph Nichols, MD
1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2023 · (415) 925-0550
-
Parnell Medical Corporation
1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 · (415) 461-1036