Individual
DR. CAROL J JESSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5349 COLLEGE AVE, OAKLAND, CA 94618-1416
(510) 547-5111
(510) 527-2262
Mailing address
5349 COLLEGE AVE, OAKLAND, CA 94618-1416
(510) 547-5111
(510) 527-2262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G44754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G447540
—
CA
01
—
G44754
STATE LICENSE NUMBER
CA
Enumeration date
04/27/2006
Last updated
07/16/2007
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