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General NPI Number Information
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NPI Number | 1104136431
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Entity Type | Organization
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Legal Business Name | ALAN J. COLEMAN, M.D.: A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 2299 POST STREET SUITE 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3473
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Country | US
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Telephone | 415-929-0660
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Fax | 415-931-0263
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Provider Business Mailing Address
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Address Line | 2299 POST STREET SUITE 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3473
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Country | US
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Telephone | 415-929-0660
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Fax | 415-931-0263
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Authorized Official
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Title or Position | PRESIDENT/ALAN J. COLEMAN PROF CORP
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Name | ALAN JULIAN COLEMAN
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Credential | M.D.
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Telephone | 415-929-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G6782
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License Number State | CA
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