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Individual

DR. JIM HISAO NISHIMINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2507 ASHBY AVENUE, BERKELEY, CA 94705
(510) 644-3000
(510) 644-0814
Mailing address
2507 ASHBY AVENUE, BERKELEY, CA 94705
(510) 644-3000
(510) 644-0814

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A23722
CA

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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