Organization
BETTENEL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED BLUMENSTOCK M.D. (PRESIDENT)
(510) 893-1700
Entity
Organization
Contact information
Practice address
365 HAWTHORNE AVE STE 301, OAKLAND, CA 94609-3113
(510) 893-1700
(510) 893-0110
Mailing address
365 HAWTHORNE AVE STE 301, OAKLAND, CA 94609-3113
(510) 893-1700
(510) 893-0110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G022905
CA
Other
Enumeration date
09/30/2006
Last updated
09/04/2007
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