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Organization

AERON BIOTECHNOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES M DOLLBAUM MD PHD (VICE PRESIDENT MEDICAL DIRECTOR)
(510) 729-0375
Entity
Organization

Contact information

Practice address
1933 DAVIS STREET, SUITE 310, SAN LEANDRO, CA 94577
(510) 729-0375
(510) 729-0383
Mailing address
1933 DAVIS STREET, SUITE 310, SAN LEANDRO, CA 94577
(510) 729-0375
(510) 729-0383

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
800001949
FL
291U00000X
Clinical Medical Laboratory
Primary
CLIA05D0600602
CA
291U00000X
Clinical Medical Laboratory
PFI7360805171AZ
NY

Other

Enumeration date
09/12/2006
Last updated
11/27/2012
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