Organization
CAROL A. GERDES M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A GERDES M.D. (PRESIDENT)
(510) 864-0660
Entity
Organization
Contact information
Practice address
501 S SHORE CTR W, SUITE D, ALAMEDA, CA 94501-5762
(510) 864-0660
(510) 864-0393
Mailing address
501 S SHORE CTR W, SUITE D, ALAMEDA, CA 94501-5762
(510) 864-0660
(510) 864-0393
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G62236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G622360
—
CA
Enumeration date
03/11/2014
Last updated
05/09/2014
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