Edward H. Gaston MD

NPI 1013095850 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1013095850
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
975 SERENO DR
VALLEJO CA, 94589-2441, US
Phone (707) 651-1000
Fax
Business Location
1800 HARRISON ST FL 7
OAKLAND CA, 94612-3429, US
Phone (510) 625-6262
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G31804
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According to our database, Edward H. Gaston MD NPI is 1013095850, taxonomy code is 2084P0800X and license number is G31804, license state is located at California. Edward H. Gaston MD physically located at 975 Sereno Dr, Vallejo CA, 94589-2441. NPI Number Edward H. Gaston MD has the Individual type.

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1013095850 NPI number is provided on an as is basis without warranty of any kind. 1013095850 is maintained by the National Plan & Provider Enumeration System. The contents of Edward H. Gaston MD are for informational purposes only.