Organization
EAST BAY SURGICAL ASSOCIATES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP W.T. POLIDO M.D. (OWNER/PRESIDENT)
(925) 757-0800
Entity
Organization
Contact information
Practice address
3903 LONE TREE WAY, SUITE 210, ANTIOCH, CA 94509-6249
(925) 757-0800
(925) 757-2160
Mailing address
3903 LONE TREE WAY, SUITE 210, ANTIOCH, CA 94509-6249
(925) 757-0800
(925) 757-2160
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
05/15/2008
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