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Organization
INTERNAL MEDICINE ASSOCIATES OF BERKELEY, A MEDICAL CORPORATION
Active
Organization
INTERNAL MEDICINE ASSOCIATES OF BERKELEY, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAY ROSS MD (PRESIDENT)
(510) 843-8002
Entity
Organization
Contact information
Practice address
2320 WOOLSEY ST, SUITE 201, BERKELEY, CA 94705-1973
(510) 843-8002
(510) 540-4808
Mailing address
PO BOX 1440, SUISUN CITY, CA 94585-4440
(415) 493-3300
(415) 493-3301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ZZZ27095Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0103300
MEDICAL
CA
Enumeration date
09/15/2006
Last updated
03/18/2014
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