MR. Gary Fedoroff is an addiction (substance use disorder) counselor in San Rafael, CA. MR. Gary Fedoroff NPI is 1093036717. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
171 CARLOS DR
SAN RAFAEL, CA
ZIP 94903-005
Phone: (415) 755-2310
Fax: (415) 755-2210
The enumeration date for this NPI number is 6/16/2010 and was last updated on 6/16/2010.