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Organization
WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC.
Active
Organization
WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SILVERT MD (PRESIDENT)
(510) 235-1137
Entity
Organization
Contact information
Practice address
2089 VALE RD, SUITE 25, SAN PABLO, CA 94806-3847
(510) 235-1137
(510) 232-5929
Mailing address
2089 VALE RD, SUITE 25, SAN PABLO, CA 94806-3847
(510) 235-1137
(510) 232-5929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1268833426
—
CA
05
—
1811038490
—
CA
Enumeration date
02/08/2007
Last updated
05/17/2023
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