Organization
CONTRA COSTA OBSTETRICS GYNECOLOGY & INFERTILITY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELWOOD LENWORTH KRONICK MD (CHAIRMAN)
(925) 932-2565
Entity
Organization
Contact information
Practice address
240 LA CASA VIA, 100, WALNUT CREEK, CA 94598-4863
(925) 932-2565
(925) 930-8568
Mailing address
240 LA CASA VIA, 100, WALNUT CREEK, CA 94598-4863
(925) 932-2565
(925) 930-8568
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73673Z
—
CA
Enumeration date
09/20/2006
Last updated
08/21/2017
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