Provider Demographics
NPI:1487686911
Name:STOCK, EVELINE OESTREICHER (MD)
Entity Type:Individual
Prefix:
First Name:EVELINE
Middle Name:OESTREICHER
Last Name:STOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVELINE
Other - Middle Name:MICHELLE
Other - Last Name:OESTREICHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 612
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-0612
Mailing Address - Country:US
Mailing Address - Phone:617-899-8337
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:DIVISION OF CARDIOLOGY MOFFITT 11TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0214
Practice Address - Country:US
Practice Address - Phone:617-899-8337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100163207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease