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1013096148
JOANNE AMALA SUPERSAD
MARTINEZ, CA
NPI
1013096148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: CA G51939)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
JOANNE AMALA SUPERSAD MD
200 MUIR RD
MARTINEZ, CA 94553-4614
Phone number: 925-372-1000
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Mailing Address
JOANNE AMALA SUPERSAD MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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