Organization
E PAUL REID MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELWOOD PAUL REID III MD (PRESIDENT)
(510) 745-6443
Entity
Organization
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 745-6443
(510) 791-3496
Mailing address
PO BOX 7390, FREMONT, CA 94537-7390
(510) 745-6443
(510) 791-3496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A49781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098000
—
CA
01
—
ZZZ08108Z
BLUE SHIELD OF CA
CA
Enumeration date
05/18/2006
Last updated
02/04/2011
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