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Organization
NEPHROLOGY MED ASSOCS CHO
Active
Organization
NEPHROLOGY MED ASSOCS CHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ELLEN MORRELL MD (HEAD OF DEPT)
(510) 428-3335
Entity
Organization
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3335
(510) 450-5850
Mailing address
3116 W MARCH LN, STE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6543
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
G31927
CA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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