Provider Demographics
NPI:1235281908
Name:STUART, ELIZABETH J (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:J
Last Name:STUART
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:870 MARKET ST
Mailing Address - Street 2:SUITE 646
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3099
Mailing Address - Country:US
Mailing Address - Phone:415-989-9099
Mailing Address - Fax:888-747-0798
Practice Address - Street 1:870 MARKET ST
Practice Address - Street 2:SUITE 646
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3099
Practice Address - Country:US
Practice Address - Phone:415-989-9099
Practice Address - Fax:888-747-0798
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2013-02-15
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Provider Licenses
StateLicense IDTaxonomies
CAA800732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH71582Medicare UPIN
CA00A800730Medicare PIN