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Organization

MICHAEL DIGIACOMO DPM INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL ARTHUR DIGIACOMO D.P.M. (OWNER)
(510) 465-8012
Entity
Organization

Contact information

Practice address
445 30TH ST, OAKLAND, CA 94609-3337
(510) 465-8012
(510) 835-1626
Mailing address
445 30TH ST, OAKLAND, CA 94609-3337
(510) 465-8012
(510) 835-1626

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1909
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E19090
CA
01
BBB31719B
SUBMITTER ID
CA
Enumeration date
10/06/2006
Last updated
12/07/2015
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