Bridge Family Practice, Inc. | |
5900 Shattuck Ave Suite 101 Oakland CA 94609-1461 | |
(510) 595-1500 | |
(510) 595-1560 |
Full Name | Bridge Family Practice, Inc. |
---|---|
Speciality | Family Medicine |
Location | 5900 Shattuck Ave, Oakland, California |
Authorized Official Name and Position | Wendell Bryan Williams (PRESIDENT) |
Authorized Official Contact | 5105951500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridge Family Practice, Inc. 5900 Shattuck Ave Suite 101 Oakland CA 94609-1461 Ph: (510) 595-1500 | Bridge Family Practice, Inc. 5900 Shattuck Ave Suite 101 Oakland CA 94609-1461 Ph: (510) 595-1500 |
NPI Number | 1083932446 |
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Provider Enumeration Date | 05/11/2010 |
Last Update Date | 05/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083932446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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