Individual
EMMANUEL ANTHONY QUAIDOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 727-3015
(626) 623-1227
Mailing address
PO BOX 98, SAN DIMAS, CA 91773-0098
(626) 447-0296
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A166634
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2024
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