Organization
BRIDGE FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL BRYAN WILLIAMS M.D. (PRESIDENT)
(510) 595-1500
Entity
Organization
Contact information
Practice address
5900 SHATTUCK AVE, SUITE 101, OAKLAND, CA 94609-1461
(510) 595-1500
(510) 595-1560
Mailing address
5900 SHATTUCK AVE, SUITE 101, OAKLAND, CA 94609-1461
(510) 595-1500
(510) 595-1560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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