Organization
BAY AREA EAR, NOSE, AND THROAT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L. RUBENSTEIN M. D. (M. D. /OWNER)
(510) 352-5470
Entity
Organization
Contact information
Practice address
13847 E 14TH ST, #200, SAN LEANDRO, CA 94578-2632
(510) 352-5470
Mailing address
13847 E 14TH ST, #200, SAN LEANDRO, CA 94578-2632
(510) 352-5470
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G33407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G334070
—
CA
Enumeration date
08/23/2006
Last updated
10/16/2007
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