Individual
ROBERT E GWYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 SOUTHAMPTON AVE, BERKELEY, CA 94707-2037
(510) 524-2848
(510) 524-9358
Mailing address
132 SOUTHAMPTON AVE, BERKELEY, CA 94707-2037
(510) 524-2848
(510) 524-9358
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G16492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0030860
—
CA
Enumeration date
06/24/2006
Last updated
09/17/2013
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