MEDICARE: SEAN ROBERT TOWNSEND 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A111480	CA

General Provider Information

NPI Number	:	1528058617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN ROBERT TOWNSEND MD

Provider Business Mailing Address
First Line	:	36 HELENS LN
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-2723
Country	:	US
Telephone Number	:	617-921-3237
Fax Number	:	415-865-4180

Provider Business Practice Location Address
First Line	:	1101 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-6919
Country	:	US
Telephone Number	:	617-921-3237
Fax Number	:	415-865-4180

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	08/17/2022

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