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Individual

DR. CAESAR REZA DJAVAHERIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-7800
Mailing address
769 SPRUCE ST, BERKELEY, CA 94707-2040
(510) 502-4336

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
234034
NY
207P00000X
Emergency Medicine Physician
Primary
A104178
CA

Other

Enumeration date
12/14/2005
Last updated
03/14/2011
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