Basic Information
Provider Information
NPI: 1649507906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWEN
FirstName: TAMI
MiddleName: SERENE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 505 PARNASSUS AVE # 1482
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432204
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2356 SUTTER ST FL 5
Address2: UCSF OBGYN
City: SAN FRANCISCO
State: CA
PostalCode: 941153006
CountryCode: US
TelephoneNumber: 4158857788
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/06/2009
LastUpdateDate: 01/18/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA114582CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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