Organization
EAST BAY SURGICAL ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MERKT (OFFICE MANAGER)
(510) 724-5714
Entity
Organization
Contact information
Practice address
1430 TARA HILLS DR, STE D, PINOLE, CA 94564-2580
(510) 724-5714
Mailing address
1430 TARA HILLS DR, STE D, PINOLE, CA 94564-2580
(510) 724-5714
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0058731
—
CA
Enumeration date
03/14/2007
Last updated
08/22/2020
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