Organization
BRIDGE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL BRYAN WILLIAMS M.D (MEDICAL DOCTOR)
(510) 595-1500
Entity
Organization
Contact information
Practice address
5900 SHATTUCK AVE STE 101, OAKLAND, CA 94609-1461
(510) 595-1500
(510) 595-1560
Mailing address
5900 SHATTUCK AVE STE 101, OAKLAND, CA 94609-1461
(510) 595-1500
(510) 595-1560
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A72340
CA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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