East Bay Head & Neck Surgery Medical Group, Inc.

NPI #1952438251 in Berkeley, California

Provider Information

NPI Number: 1952438251
Entity Type: Organization
Organization Name: East Bay Head & Neck Surgery Medical Group, Inc.
Primary Specialty: Otolaryngology
Enumeration Date: Feb 27, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 2316 DWIGHT WAY
City: Berkeley
State: California
ZIP Code: 94704-2212
Phone: (510) 845-4500

Authorized Official

Name: DR. RICHARD J KERBAVAZ, MD
Title: VICE PRESIDENT
Phone: (510) 845-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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