Edmund T. Lonergan MD

NPI 1093889305 - Internal Medicine - 207R00000X

NPI Details
NPI 1093889305
Gender Male
Enumeration Date 11/20/2006
Last Updated 01/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
280 W MACARTHUR BLVD
OAKLAND CA, 94611-5642, US
Phone (510) 752-1000
Fax
Business Location
1800 HARRISON ST FL 7
OAKLAND CA, 94612-3429, US
Phone (510) 625-6262
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G43145
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According to our database, Edmund T. Lonergan MD NPI is 1093889305, taxonomy code is 207R00000X and license number is G43145, license state is located at California. Edmund T. Lonergan MD physically located at 280 W Macarthur Blvd, Oakland CA, 94611-5642. NPI Number Edmund T. Lonergan MD has the Individual type.

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1093889305 NPI number is provided on an as is basis without warranty of any kind. 1093889305 is maintained by the National Plan & Provider Enumeration System. The contents of Edmund T. Lonergan MD are for informational purposes only.