Organization
BERKELEY FOOT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY GLASSER DPM (OWNER)
(510) 526-1335
Entity
Organization
Contact information
Practice address
1178 SAN PABLO AVE, BERKELEY, CA 94706-2245
(510) 526-1335
(510) 526-4419
Mailing address
1178 SAN PABLO AVE, BERKELEY, CA 94706-2245
(510) 526-1335
(510) 526-4419
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629153788
NPI
CA
Enumeration date
05/23/2007
Last updated
08/22/2020
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