Cornelia M Pessoa, MD
Specialist in Berkeley, CA. Organization (NPI-2).
NPI number1760675656
StatusActive
Last updated in NPPESJan 27, 2010
Details
- NPI
- 1760675656
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornelia M Pessoa, MD
- Organization subpart
- No
- Enumeration date
- Aug 23, 2007
- Last updated
- Jan 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G60130 | CA | Yes |
Other names
- Dermatology Associates Of Berkeley (Doing Business As)
Practice location
2500 Milvia StSuite 104
Berkeley, CA 94704-2636
Phone 510-486-1700 · Fax 510-486-1133
Mailing address
2500 Milvia StSuite 104
Berkeley, CA 94704-2636
Phone 510-486-1700 · Fax 510-486-1133
Authorized official
Cornelia Moura Pessoa
Owner/Physician
5104861700
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