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Organization
THE PEDIATRIC MEDICAL GROUP
Active
Organization
THE PEDIATRIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNI E HART (OFFICE MANAGER)
(510) 849-1791
Entity
Organization
Contact information
Practice address
2320 WOOLSEY ST, STE 301, BERKELEY, CA 94705
(510) 849-1744
(510) 849-0326
Mailing address
2320 WOOLSEY ST, STE 301, BERKELEY, CA 94705
(510) 849-1744
(510) 849-0326
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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