Organization
WASHINGTON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE CARRERA (OFFICE MANAGER)
(510) 744-6706
Entity
Organization
Contact information
Practice address
2557 MOWRY AVE, SUITE 12, FREMONT, CA 94538-1603
(510) 793-3722
(510) 793-8783
Mailing address
2557 MOWRY AVE, SUITE 12, FREMONT, CA 94538-1603
(510) 793-3722
(510) 793-8783
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
09/11/2025
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