Individual
DR. ANN MARGARET PETRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
747 FIFTY-SECOND STREET, OAKLAND, CA 94609-1809
(510) 428-3337
(510) 601-3957
Mailing address
43 AGNES ST, OAKLAND, CA 94618-2522
(510) 428-3337
(510) 601-3957
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G40627
CA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
G40627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G406270
—
CA
01
—
CGP 089750
CCS PROVIDER NUMBER
CA
01
—
CGP160130
CCS CONSULTANT NUMBER
CA
Enumeration date
06/28/2006
Last updated
03/07/2023
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