# E. WAYNE SANDERS, JR. MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bay Medical Corp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275757015
- **Authorized official:** EDWARD SANDERS MD (PRESIDENT)
- **Authorized official phone:** (510) 375-2836

## Contact information

- **Practice address:** 3706 TELEGRAPH AVE, OAKLAND, CA 94609-2418
- **Practice address phone:** (510) 375-2836
- **Practice address fax:** (510) 653-7159
- **Mailing address:** PO BOX 2270, SAUSALITO, CA 94966-2270
- **Mailing address phone:** (510) 331-2788
- **Mailing address fax:** (510) 653-7159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C29998 | CA | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020