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NPI Code Detail

MEDICARE: EMILY CARO-BRUCE MD

MEDICARE: EMILY CARO-BRUCE 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
1207Q00000XFamily Medicine Physician254734NY
2207Q00000XFamily Medicine PhysicianML20008551WA
3207Q00000XFamily Medicine PhysicianA114203CA

General Provider Information

NPI Number : 1164633806
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CARO-BRUCE MD
Provider Business Mailing Address
First Line : 130 SUTTER ST FL 2
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-4009
Country : US
Telephone Number : 415-658-6791
Fax Number : 415-520-0904
Provider Business Practice Location Address
First Line : 1801 SHATTUCK AVE STE A
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1872
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 03/17/2025

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Directions to “ EMILY CARO-BRUCE MD” Practice Location

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