East Bay Surgical Associates, a Medical Corporation

NPI #1689858748 in Antioch, California

Provider Information

NPI Number: 1689858748
Entity Type: Organization
Organization Name: East Bay Surgical Associates, a Medical Corporation
Primary Specialty: Surgery
Enumeration Date: Dec 26, 2007
Last Updated: May 15, 2008

Practice Location

Address: 3903 LONE TREE WAY
Address 2: SUITE 210
City: Antioch
State: California
ZIP Code: 94509-6249
Phone: (925) 757-0800

Authorized Official

Name: DR. PHILLIP W.T. POLIDO, M.D.
Title: OWNER/PRESIDENT
Phone: (925) 757-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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