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Robert J. Stallone M.D., INC.

in Berkeley, CA. Organization (NPI-2).

NPI number1487908802
StatusActive
Last updated in NPPESNov 7, 2012

Details

NPI
1487908802
Entity type
Organization (NPI-2)
Legal business name
Robert J. Stallone M.D., INC.
Organization subpart
No
Enumeration date
Nov 7, 2012
Last updated
Nov 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes

Practice location

2999 Regent St
Suite 622
Berkeley, CA 94705-2190

Phone 510-549-9192 · Fax 510-549-9193

Mailing address

2999 Regent St
Suite 622
Berkeley, CA 94705-2190

Phone 510-549-9192 · Fax 510-549-9193

Authorized official

Robert J. Stallone
President
5105499192

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