MEDICARE: BEVERLY A EPSTEIN MD

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
1	207N00000X	Dermatology Physician	G058602	CA

General Provider Information

NPI Number	:	1811968605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY A EPSTEIN MD

Provider Business Mailing Address
First Line	:	450 SUTTER ST
Second Line	:	STE 1306
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4006
Country	:	US
Telephone Number	:	415-781-4083
Fax Number	:	415-781-4104

Provider Business Practice Location Address
First Line	:	450 SUTTER ST
Second Line	:	STE 1306
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4006
Country	:	US
Telephone Number	:	415-781-4083
Fax Number	:	415-781-4104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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