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NPI Code Detail

MEDICARE: MR. GARY DENNIS GIN M.D.

MEDICARE: MR. GARY DENNIS GIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG38041CA

General Provider Information

NPI Number : 1578575981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY DENNIS GIN M.D.
Provider Business Mailing Address
First Line : 525 SPRUCE STREET
Second Line : SUITE 3
City : SAN FRANCISCO
State : CA
Zip : 94118-2682
Country : US
Telephone Number : 415-668-8900
Fax Number : 415-668-1695
Provider Business Practice Location Address
First Line : 525 SPRUCE STREET
Second Line : SUITE 3
City : SAN FRANCISCO
State : CA
Zip : 94118-2682
Country : US
Telephone Number : 415-668-8900
Fax Number : 415-668-1695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 10/24/2019

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