Organization
BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E WOLPA DPM (PRESIDENT/ OWNER)
(510) 849-3800
Entity
Organization
Contact information
Practice address
3000 COLBY ST STE 104, BERKELEY, CA 94705-2090
(510) 849-3800
(510) 849-3810
Mailing address
3000 COLBY ST STE 104, BERKELEY, CA 94705-2090
(510) 849-3800
(510) 849-3810
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
E1852
CA
Other
Enumeration date
12/17/2010
Last updated
05/06/2014
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