Provider Demographics
NPI:1891928560
Name:HUBER, MARY ROSE VELORO (MD)
Entity type:Individual
Prefix:DR
First Name:MARY ROSE
Middle Name:VELORO
Last Name:HUBER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:935 TRANCAS ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2932
Mailing Address - Country:US
Mailing Address - Phone:707-252-4872
Mailing Address - Fax:707-252-4964
Practice Address - Street 1:935 TRANCAS ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2932
Practice Address - Country:US
Practice Address - Phone:707-252-4872
Practice Address - Fax:707-252-4964
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
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Provider Licenses
StateLicense IDTaxonomies
CAG88314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHF83475Medicare UPIN