Brian Charles Roach, M.D.
Internal Medicine in Burlingame, CA. Individual provider (NPI-1).
NPI number1215940887
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215940887
- Entity type
- Individual (NPI-1)
- Name
- Brian Charles Roach
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | G 035559 | CA | Yes |
Practice location
1720 El Camino RealSuite 160
Burlingame, CA 94010-3224
Phone 650-259-9480 · Fax 650-259-1428
Mailing address
577 Airport BlvdSuite 300
Burlingame, CA 94010-2020
Phone 650-240-8040 · Fax 650-348-9060
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