Individual
ELLIOTT P VICHINSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3651
(510) 450-5647
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3651
(510) 450-5647
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
G38667
CA
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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