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Individual

CHARLES A NEUMANN X

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
781 BALRA DR, EL CERRITO, CA 94530-3302
(510) 525-7705
Mailing address
781 BALRA DR, EL CERRITO, CA 94530-3302
(510) 525-7705

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-053128
IL
207P00000X
Emergency Medicine Physician
Primary
20A4150
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX41500
CA
Enumeration date
03/01/2006
Last updated
12/07/2012
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