Organization
EAST BAY RHEUMATOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK MICHAEL NEUWELT M.D. (DOCTOR)
(510) 357-1303
Entity
Organization
Contact information
Practice address
13851 E 14TH ST STE 301, SAN LEANDRO, CA 94578-2630
(510) 357-1303
(510) 357-5463
Mailing address
13851 E 14TH ST STE 301, SAN LEANDRO, CA 94578-2630
(510) 357-1303
(510) 357-5463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G38264
CA
Other
Enumeration date
12/09/2008
Last updated
02/12/2014
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