Individual
TRISSA BADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 ASHBY AVE STE 5505, BERKELEY, CA 94705-2067
(510) 204-3977
(509) 204-5429
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-3977
(509) 204-5429
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A49503
CA
208M00000X
Hospitalist Physician
Primary
A49503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5381207
—
NJ
Enumeration date
08/15/2005
Last updated
06/05/2020
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