Individual
AMY M. MAIDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4329 PIEDMONT AVE, OAKLAND, CA 94611-4715
(510) 418-9331
(888) 844-4383
Mailing address
PO BOX 618, NOVATO, CA 94948-0618
(510) 433-1040
(510) 864-1934
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A98623
CA
208000000X
Pediatrics Physician
MD00040212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8373482
—
WA
Enumeration date
10/12/2005
Last updated
01/26/2022
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