Provider Demographics
NPI:1023233863
Name:PEYSER, CAROL EFRON (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:EFRON
Last Name:PEYSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1300 UNIVERSITY DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4203
Mailing Address - Country:US
Mailing Address - Phone:650-323-0433
Mailing Address - Fax:650-323-0434
Practice Address - Street 1:1300 UNIVERSITY DR
Practice Address - Street 2:SUITE 4
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4203
Practice Address - Country:US
Practice Address - Phone:650-323-0433
Practice Address - Fax:650-323-0434
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50882174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist