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Organization

MARTIN KERNBERG MD INC

Active
Other names
Jefferson Pain Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN KERNBERG MD (OWNER)
(707) 464-1989
Entity
Organization

Contact information

Practice address
1225 MARSHALL ST, STE 18, CRESCENT CITY, CA 95531-2281
(707) 464-1989
(707) 464-9593
Mailing address
1327 WALLER ST, SAN FRANCISCO, CA 94117-2920
(707) 464-1989
(707) 464-9593

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62629
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
62629
CA

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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