MEDICARE: EVELINE OESTREICHER STOCK 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
1	207RC0000X	Cardiovascular Disease Physician	A100163	CA

General Provider Information

NPI Number	:	1487686911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELINE OESTREICHER STOCK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 612
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-0612
Country	:	US
Telephone Number	:	617-899-8337
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 PARNASSUS AVE
Second Line	:	DIVISION OF CARDIOLOGY MOFFITT 11TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0214
Country	:	US
Telephone Number	:	617-899-8337
Fax Number	:

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/21/2010

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