Individual
DR. DOUGLAS J ABELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21030 REDWOOD RD, CASTRO VALLEY, CA 94546-5920
(510) 538-0430
(510) 538-1839
Mailing address
21030 REDWOOD RD, CASTRO VALLEY, CA 94546-5920
(510) 538-0430
(510) 538-1839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G79953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FM288Y
MEDICARE PTAN
CA
Enumeration date
09/14/2006
Last updated
06/10/2013
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