Bancroft Pediatric Medical Group

NPI 1316903461 - Pediatrics - 208000000X

NPI Details
NPI 1316903461
Enumeration Date 04/25/2006
Last Updated 01/06/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIRIAN MIRIAN
Position SENIOR PARTNER
Phone (510) 483-2600
Fax (510) 483-2605
Practice Location
1555 DOOLITTLE DR. 180
SAN LEANDRO CA, 94577, US
Phone (510) 483-2600
Fax (510) 483-2605
Business Location
1555 DOOLITTLE DR STE 180
SAN LEANDRO CA, 94577-2239, US
Phone (510) 483-2600
Fax (510) 483-2605
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Bancroft Pediatric Medical Group NPI is 1316903461, taxonomy code is 208000000X Bancroft Pediatric Medical Group physically located at 1555 Doolittle Dr. 180, San Leandro CA, 94577. NPI Number 1033115704 has the healthcare provider type.

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1316903461 NPI number is provided on an as is basis without warranty of any kind. 1316903461 is maintained by the National Plan & Provider Enumeration System. The contents of Bancroft Pediatric Medical Group are for informational purposes only.