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Organization
CALIFORNIA AVANT-GARDE PHYSICIANS
Active
Organization
CALIFORNIA AVANT-GARDE PHYSICIANS
Active
Other names
Golden Gate Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN BANNERJEE DPM (CFO)
(707) 938-1977
Entity
Organization
Contact information
Practice address
686 3RD ST W, SONOMA, CA 95476
(707) 938-1977
Mailing address
686 3RD ST W, SONOMA, CA 95476-6805
(707) 938-1977
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4684
CA
Other
Enumeration date
10/26/2017
Last updated
06/27/2018
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