MEDICARE: DR. MELISSA GARIG BRAMMER M.D., M.P.H.

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	207RX0202X	Medical Oncology Physician	015765	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	015765	OTHER	LA	BOARD OF MEDICAL EXAMINERS

General Provider Information

NPI Number	:	1558649194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA GARIG BRAMMER M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1 DNA WAY
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-4918
Country	:	US
Telephone Number	:	650-467-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 DNA WAY
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-4918
Country	:	US
Telephone Number	:	650-467-7700
Fax Number	:

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

Provider Enumeration Date	:	08/01/2011
Last Update Date	:	08/01/2011

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