Individual
DR. RICHARD A BORDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 VALE RD STE 300, SAN PABLO, CA 94806-3846
(510) 233-3788
(510) 233-3390
Mailing address
2101 VALE RD STE 300, SAN PABLO, CA 94806-3846
(510) 233-3788
(510) 233-3390
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G31546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G315460
—
CA
Enumeration date
08/09/2006
Last updated
09/06/2010
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