Individual
AMATER ZEALE TRAYLOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5682 ADELINE STREET, OAKLAND, CA 94608-2804
(510) 655-5385
(510) 601-9351
Mailing address
5682 ADELINE STREET, OAKLAND, CA 94608-2804
(510) 655-5385
(510) 594-0121
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C32496
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000C324960
—
CA
Enumeration date
03/21/2006
Last updated
11/07/2012
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