Provider Demographics
NPI:1083293716
Name:ADVANCED REGENERATIVE ORTHOPEDICS
Entity Type:Organization
Organization Name:ADVANCED REGENERATIVE ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:415-223-7504
Mailing Address - Street 1:899 NORTHGATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3667
Mailing Address - Country:US
Mailing Address - Phone:415-223-7504
Mailing Address - Fax:415-223-7505
Practice Address - Street 1:899 NORTHGATE DR STE 400
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3667
Practice Address - Country:US
Practice Address - Phone:415-223-7504
Practice Address - Fax:415-223-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty