Organization
BAY AREA ONCOLOGY HEMATOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN WOLF (OFFICE MANAGER)
(510) 204-1591
Entity
Organization
Contact information
Practice address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(510) 204-1591
(510) 204-6440
Mailing address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(510) 204-1591
(510) 204-6440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089940
—
CA
Enumeration date
10/17/2005
Last updated
08/22/2020
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