Most Relevant Information
Provider Data
| NPI Number: | 1003561507 |
| Provider Name: | MASANORI TSUBOSAKA MD, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/14/2022 |
| Last Updated: | 02/14/2022 |
Provider Practice Location
269 CAMPUS DR
STANFORD
CA
943055101
Practice Location Phone/Fax
| Phone: | 6507237887 |
| Fax: | 6507251958 |
Provider Mailing Location
269 CAMPUS DR
STANFORD
CA
943055101
Provider Mailing Phone/Fax
| Phone: | 6507237887 |
| Fax: | 6507251958 |