Organization
HARVEY A. GILBERT, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY A GILBERT MD (OWNER/DIRECTOR)
(209) 365-1761
Entity
Organization
Contact information
Practice address
556 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249
(209) 365-1761
(209) 333-3673
Mailing address
311 S HAM LN, LODI, CA 95242-3512
(209) 365-1761
(209) 333-3673
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A923390
—
CA
05
—
00C283720
—
CA
05
—
GR0103050
—
CA
Enumeration date
08/05/2007
Last updated
01/04/2008
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