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Organization
ZIZMOR MEDICAL GROUP INC.
Active
Organization
ZIZMOR MEDICAL GROUP INC.
Active
Other names
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Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JEFFREY ZIZMOR MD (MEDICAL DIRECTOR)
(341) 222-3800
Entity
Organization
Contact information
Practice address
1935 ADDISON ST STE A, BERKELEY, CA 94704-1354
(341) 222-3800
Mailing address
1935 ADDISON ST STE A, BERKELEY, CA 94704-1354
(341) 222-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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