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NPI Code Detail

MEDICARE: JEANNE ALLEN LINQUIST M.D.

MEDICARE: JEANNE ALLEN LINQUIST 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
1207RI0200XInfectious Disease PhysicianC-34478CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C-34478OTHERCALICENSE NUMBER

General Provider Information

NPI Number : 1720143803
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE ALLEN LINQUIST M.D.
Provider Business Mailing Address
First Line : 8 FAIROAKS CT
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-3173
Country : US
Telephone Number : 650-573-9735
Fax Number :
Provider Business Practice Location Address
First Line : 225 37TH AVE
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-4324
Country : US
Telephone Number : 650-573-2750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 03/07/2023

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