C JANE BREEDEN MARMOR MD NPI 1669458014

NPI Information

NPI: 1669458014
Provider Name: C JANE BREEDEN MARMOR, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
170 ALAMEDA DE LAS PULGAS
DEPT OF RADIATION ONCOLOGY SEQUOIA HOSPITAL
REDWOOD CITY, CA
ZIP 94062
Phone: (650) 245-3889
Get Directions

C Jane Breeden Marmor, MD is a radiation oncology radiology in Redwood City, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. C Jane Breeden Marmor, MD NPI is 1669458014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

170 ALAMEDA DE LAS PULGAS
DEPT OF RADIATION ONCOLOGY SEQUOIA HOSPITAL
REDWOOD CITY, CA
ZIP 94062-799
Phone: (650) 245-3889
Fax: (650) 323-0764

The enumeration date for this NPI number is 12/19/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	G13979	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G139790	OTHER	CALIFORNIA	BLUE SHIELD
2	00G139790	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	A39137	MEDICARE UPIN
4	00G139790	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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