Individual
DR. CAROL LYNN BROSGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3133 LEWISTON AVE, BERKELEY, CA 94705-2716
(510) 541-6200
Mailing address
3133 LEWISTON AVE, BERKELEY, CA 94705-2716
(510) 541-6200
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G-37121
CA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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