Organization Name: | IRENE BEISSNER MD INC |
NPI Number: | 1487885075 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRENE BEISSNER (PRESIDENT OF CORPORATION) |
Mailing Address: | 1100 Rose Dr Benicia |
State: | CA US |
Postal Code: | 945103623 |
Phone Number: | 7077451720 |
Fax Number: | 7077451902 |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | C42256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |