NPI | 1174675417 |
---|---|
Other Name | WASHINGTON TOWNSHIP MEDICAL GROUP, INC |
Entity Type | Organization |
Authorized Contact | ALBERT L BROOKS President 510-248-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G36600) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA G36600) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2015-06-17 |