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Ellen Haddock
Dermatology Physician in San Rafael, California
NPI 1851823454

Ellen Haddock is a Dermatology Physician based in San Rafael, CA. Ellen Haddock practices in San Rafael, CA. The NPI Number for Ellen Haddock is 1851823454 and holds a License No. (California).

The current practice location address for Ellen Haddock is 5000 Civic Center Dr, San Rafael, CA and can be reached out via phone at 415-499-0100 and via fax at 415-499-0290.

Location: 5000 Civic Center Dr, San Rafael, CA, 94903-4184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851823454
Provider Name
Ellen Haddock
Credential
Provider Entity Type
Individual
Gender
Female
Address
5000 Civic Center Dr, San Rafael, CA, 94903-4184
Phone Number
415-499-0100
Fax Number
415-499-0290
Provider Enumeration Date
04/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5000 Civic Center Dr
City
San Rafael
State
California
Zip
94903-4184
Phone Number
415-499-0100
Fax Number
415-499-0290
person
Provider Business Mailing Address Details
Address
5000 Civic Center Dr
City
San Rafael
State
California
Zip
94903-4184
Phone Number
415-499-0100
Fax Number
415-499-0290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
A157683 (California)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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