Organization
EASTBAY HEMATOLOGY/ONCOLOGY CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY CECCHI M.D. (MD/AUTHORIZED OFFICIAL)
(510) 204-6024
Entity
Organization
Contact information
Practice address
2000 VALE RD, SAN PABLO, CA 94806-3808
(510) 204-6402
(510) 848-0801
Mailing address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(510) 204-6402
(510) 848-0801
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101090
—
CA
Enumeration date
10/10/2005
Last updated
03/16/2010
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