Organization
EAST BAY PEDIATRIC CARDIOLOGY MEDICAL GROUP, INC.
Active
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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