Provider Demographics
NPI:1629049853
Name:ROJAS, NEAL L (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:L
Last Name:ROJAS
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Gender:M
Credentials:MD
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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:2006-01-27
Last Update Date:2014-12-05
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Provider Licenses
StateLicense IDTaxonomies
MA220461208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA470166OtherTUFTS
MA0034790OtherNEIGHBORHOOD HEALTH
MAAA28510OtherHARVARD PILGRIM
MAJ28505OtherBLUE CROSS
MA2100088Medicaid
MAJ28505OtherBLUE CROSS
MAA38231Medicare ID - Type Unspecified