Doctor Name: | DR. MEL BLAUSTEIN |
NPI Number: | 1205845542 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D, |
License Number: | 00G230570 |
Business Practice Address: | 1199 Bush St Suite 420 San Francisco, CA - 941095999 |
Business Phone Number: | 4159286100 |
Business Fax Number: | 4159286102 |
Mailing Address: | 1199 Bush St Ste 420, SAN FRANCISCO |
State: | CA |
Postal Code: | 941095975 |
Phone Number: | 4159286100 |
Fax Number: | 4159286102 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 08/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 00G230570 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |