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Organization
ALLERGY AND IMMUNOLOGY CLINIC OF EAST BAY INC
Active
Organization
ALLERGY AND IMMUNOLOGY CLINIC OF EAST BAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY SUKHOV (BUSINESS MANAGER)
(925) 270-5119
Entity
Organization
Contact information
Practice address
2320 WOOLSEY ST, STE 314, BERKELEY, CA 94705-1973
(925) 270-5119
Mailing address
2320 WOOLSEY ST, STE 314, BERKELEY, CA 94705-1973
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A83416
CA
Other
Enumeration date
04/13/2010
Last updated
06/23/2010
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