Elaine Dolores Berger, PA
Physician Assistant, Surgical in Fremont, CA. Individual provider (NPI-1).
NPI number1609937523
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609937523
- Entity type
- Individual (NPI-1)
- Name
- Elaine Dolores Berger
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA 16921 | CA | Yes |
Practice location
39400 Paseo Padre PkwySurgery Department
Fremont, CA 94538-2310
Phone 510-248-3075
Mailing address
39400 Paseo Padre PkwySurgery Department
Fremont, CA 94538-2310
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