MEDICARE: WOODS AND WARSHAL MEDICAL GROUP INC

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1265801500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODS AND WARSHAL MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	PO BOX 1441
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94401-0860
Country	:	US
Telephone Number	:	650-631-8300
Fax Number	:	650-631-2448

Provider Business Practice Location Address
First Line	:	12980 TEN OAK WAY
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-4421
Country	:	US
Telephone Number	:	650-631-8300
Fax Number	:	650-631-2448

Authorized Official
Title or Position	:	PARTNER
Name	:	WILLIAM S WARSHAL
Credential	:	M.D.
Telephone Number	:	650-631-8300

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	05/16/2016

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