Individual
DEBRA GOLOGORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 869-6567
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G59865
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G59865
CA
Other
Enumeration date
03/16/2006
Last updated
07/12/2007
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