Individual
ELOUISE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4180 PARK BLVD, OAKLAND, CA 94602-1207
(510) 530-5437
Mailing address
4180 PARK BLVD, OAKLAND, CA 94602-1207
(510) 652-5161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G47239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G472390
—
CA
Enumeration date
10/31/2006
Last updated
11/18/2008
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