Provider Demographics
NPI:1154501450
Name:HARRIS, JAMAL CINQUE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JAMAL
Middle Name:CINQUE
Last Name:HARRIS
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:MAIL STOP 6E
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-8361
Mailing Address - Fax:415-206-3686
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:MAIL STOP 6E
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8361
Practice Address - Fax:415-206-3686
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2021-08-10
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Provider Licenses
StateLicense IDTaxonomies
CAA105905208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics