Provider Demographics
NPI:1285761783
Name:SUFRIN, CAROLYN BETH (MD)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:BETH
Last Name:SUFRIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1001 PORTRERO AVE, FLOOR 6D-15
Mailing Address - Street 2:SFGH DEPARTMENT OF OB GYN AND REPRODUCTIVE SCIENCES
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-206-8358
Mailing Address - Fax:
Practice Address - Street 1:1001 PORTRERO AVE, FLOOR 6D-15
Practice Address - Street 2:SFGH DEPARTMENT OF OB GYN AND REPRODUCTIVE SCIENCES
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-206-8358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD77122207V00000X
CAA100179207V00000X
PAMD427041207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology