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Organization
GROOVE MEDICAL GROUP PA
Active
Organization
GROOVE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WEISS (OPERATIONS ADMINISTRATOR)
(510) 200-8182
Entity
Organization
Contact information
Practice address
1152 MILLER AVE, BERKELEY, CA 94708-1755
(510) 200-8182
Mailing address
1152 MILLER AVE, BERKELEY, CA 94708-1755
(510) 200-8182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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