Individual
CHARLES WILLIAM BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
50 E HAMILTON AVE, #100, CAMPBELL, CA 95008-0259
(408) 364-7600
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A16898
CA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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