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Individual

ROBERT V. WACHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10050 N WOLFE RD STE SW1190, CUPERTINO, CA 95014-2595
(408) 236-6400
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G21506
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G215060
CA
Enumeration date
10/31/2006
Last updated
08/16/2007
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