Organization
EAST BAY PEDIATRIC CARDIOLOGY MEDICAL GROUP, INC.
Active
Other names
Pediatric Cardiology Medical Group East Bay, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD M ROSENFELD MD (PRESIDENT)
(510) 428-3294
Entity
Organization
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3294
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3294
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G78396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093060
—
CA
Enumeration date
07/08/2006
Last updated
08/22/2020
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