Organization
EAST BAY HEAD & NECK SURGERY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J KERBAVAZ MD (VICE PRESIDENT)
(510) 845-4500
Entity
Organization
Contact information
Practice address
2316 DWIGHT WAY, BERKELEY, CA 94704-2212
(510) 845-4500
(510) 845-0360
Mailing address
2316 DWIGHT WAY, BERKELEY, CA 94704
(510) 845-4500
(510) 845-0360
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
06/21/2018
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