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Organization

EAST BAY DERMATOLOGY MEDICAL GROUP INC

Active
Other names
Center for Dermatology Cosmetic & Laser Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY A CARMEL MD (CEO)
(510) 797-4111
Entity
Organization

Contact information

Practice address
2557 MOWRY AVE, STE 34 AND STE 25, FREMONT, CA 94538
(510) 797-4111
(510) 797-3320
Mailing address
2557 MOWRY AVE, STE 34, FREMONT, CA 94538
(510) 797-4111
(510) 797-3320

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
01/25/2006
Last updated
08/22/2020
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