NPI | 1225351927 |
---|---|
Doing Business As | BARRY CHANTRELLE MD INC |
Entity Type | Organization |
Authorized Contact | BARRY CHANTRELLE President 510-451-8451 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G35119) |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |