Advanced Medical and Surgical Dermatology Corporation
Advanced Medical and Surgical Dermatology Corporation provides Dermatology Physician services in San Rafael, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 5
Practice location Address checks out
1099 D St Ste 204San Rafael, CA 94901-2893 Not confirmed with CMS for 15 years — call before visiting
Phone: (415) 259-0131
Fax: (415) 259-0133
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence A65185 (CA) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence A65186 (CA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence A65186 (CA) |
| Clinical & Laboratory Dermatological Immunology Physician | Taxonomy 207NI0002X · Licence A65186 (CA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence A65186 (CA) |
Record details
| NPI number | 1720370166 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anya Bandt — President · (415) 259-0131 |
| NPI enumerated | May 4, 2011 |
| Last updated in NPPES | May 4, 2011 |
| Mailing address | 1099 D St Ste 204, San Rafael, CA 94901-2893 |
Other providers in San Rafael
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Dermatology Consultants of Marin Inc
5000 Civic Center Dr, San Rafael, CA 94903-4184 · (415) 499-0100
-
Ravinder Gogia, MD
5000 Civic Center Dr, San Rafael, CA 94903-4184 · (415) 499-0100
-
Julia E. Haimowitz, MD
99 Montecillo Rd, San Rafael, CA 94903-3308 · (415) 444-2000
-
Renee Marie Howard, MD
5000 Civic Center Dr, San Rafael, CA 94903-4184 · (415) 499-0100