Organization
NORCAL UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL F DEVIVO (ADMINISTRATOR)
(510) 465-5800
Entity
Organization
Contact information
Practice address
5201 NORRIS CANYON RD, SUITE 230, SAN RAMON, CA 94583-5411
(925) 866-2100
(510) 866-6612
Mailing address
3300 WEBSTER ST, SUITE 710, OAKLAND, CA 94609-3117
(510) 465-5800
(510) 839-8984
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
CA
Other
Enumeration date
10/03/2007
Last updated
06/28/2010
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