Provider Demographics
NPI:1518235423
Name:MOLONEY, SEAN JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:JOSEPH
Last Name:MOLONEY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:14 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3603
Mailing Address - Country:US
Mailing Address - Phone:415-457-4202
Mailing Address - Fax:415-457-4200
Practice Address - Street 1:224 GREENFIELD AVE STE 1
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-2472
Practice Address - Country:US
Practice Address - Phone:415-457-4202
Practice Address - Fax:415-457-4200
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2021-01-18
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Provider Licenses
StateLicense IDTaxonomies
CA20A11173207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine