Mamaclay, Judy D

Mamaclay, Judy D is an individual health care provider with primary practice located at 4131 Geary Blvd , San Francisco CA 94118-3101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mamaclay, Judy D can be contacted via phone (415) 418-9114.

Contact Information

Primary practice address
4131 Geary Blvd San Francisco CA 94118-3101
Phone: (415) 418-9114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 040859 Connecticut

Profile Details

NPI number 1457357618
LBN Legal business name Mamaclay, Judy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457357618 NPPES
Connecticut MEDICAID 001408592

Popular Providers