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PETER S UZELAC MD INC NPI 1942685102


NPI Information

NPI: 1942685102
Provider Name: PETER S UZELAC MD, INC

Doing Business As: MARIN FERTILITY CENTER

Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 05D2004367

Address:
1100 S ELISEO DR
SUITE 107
GREENBRAE, CA
ZIP 94904
Phone: (415) 925-9404
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PETER S UZELAC MD, INC is a reproductive endocrinology obstetrics gynecology in Greenbrae, CA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. PETER S UZELAC MD, INC NPI is 1942685102. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marin Fertility Center.

The provider's business location address is:

1100 S ELISEO DR
SUITE 107
GREENBRAE, CA
ZIP 94904-017
Phone: (415) 925-9404
Fax: (415) 484-7045

The provider's authorized official is Peter S Uzelac .
The authorized official title is Owner and has the following contact phone number (415) 925-9404.

The CLIA number assigned to this NPI record is 05D2004367 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 7/29/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyA72448CALIFORNIAYes

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: 4/28/2024

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