| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ADDIE MAZAL PERETZ | 1720387186 | 2023-11-10 |
Addie Mazal Peretz [F] graduated in 2011 from New York University School Of Medicine and primarily specializes in Neurology.
Addie Mazal Peretz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720387186. Registration indicates Addie Mazal Peretz is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Pain Medicine, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Pain Medicine, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| PECOS ID | 9133413180 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Addie Mazal Peretz MD |
| Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
| Practice Office Telephone | 6507234000 |
| Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
| Business Telephone | 6507234000 |
| Code | Practice | License No State |
|---|---|---|
| 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | A121979
CA |
| 2084P2900X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Pain Medicine Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Pain Medicine Allopathic & Osteopathic Physicians Psychiatry & Neurology | A121979
CA |