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Organization
EAST BAY AIDS CENTER MEDICAL GROUP INC
Active
Organization
EAST BAY AIDS CENTER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BURACK (PRESIDENT)
(510) 869-8480
Entity
Organization
Contact information
Practice address
3100 SUMMIT ST, 2ND FLOOR, OAKLAND, CA 94609-3410
(510) 869-8400
(510) 869-8475
Mailing address
3100 SUMMIT ST, 2ND FLOOR, OAKLAND, CA 94609
(510) 869-8488
(510) 869-8478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
CA
207RI0200X
Infectious Disease Physician
Primary
—
CA
363LF0000X
Family Nurse Practitioner
—
CA
Other
Enumeration date
06/24/2006
Last updated
12/22/2022
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