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RICHARD L WACHT MD MEDICAL CORP

Allergy

Oakland, California

Provider NPI: 1720047376

Provider Information:
 RICHARD L WACHT MD MEDICAL CORP


Practice Location:
419 30TH ST  OAKLAND, CA 94609 US
Tel: 510-444-4305  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
CAA021202
Y207R00000XPhysicians
Internal Medicine
CAA021202

Other Provider Identifiers:

IssuerNumberStateType
7194316CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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