Organization
SAMUEL MERRITT COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GREGORY GINGRAS CMA (VP OF FINANCE AND ADMINISTRATION)
(510) 869-1588
Entity
Organization
Contact information
Practice address
450 30TH ST, SUITE 2701, OAKLAND, CA 94609-3302
(510) 869-1588
(510) 869-1587
Mailing address
450 30TH ST, SUITE 2701, OAKLAND, CA 94609-3302
(510) 869-1588
(510) 869-1587
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E-2309
CA
213E00000X
Podiatrist
E-4490
CA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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