Provider First Line Business Practice Location Address:
1411 E 31ST ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICINE RESIDENCY PROGRAM, A2 ROOM 18
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602-1018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-535-7618
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2014