Provider Demographics
NPI:1912050105
Name:TARCHER, ALYCE BEZMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ALYCE
Middle Name:BEZMAN
Last Name:TARCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31538
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131
Mailing Address - Country:US
Mailing Address - Phone:415-863-0400
Mailing Address - Fax:415-861-8050
Practice Address - Street 1:2340 CLAY ST
Practice Address - Street 2:6TH FL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-863-0400
Practice Address - Fax:415-861-8050
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45130207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA56519Medicare UPIN
CA000G45130Medicare PIN