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DR. MYLES B. ABBOTT M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1740374404
Individual Registrant:DR. MYLES B. ABBOTT M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2999 REGENT ST. SUITE 325 BERKELEY, CA 94705-2118 US
Tel: 925-253-9203 Fax: 510-841-5650
Tel: 925-253-9203 Fax: 510-841-5650
Contact information for business:
2999 REGENT ST. SUITE 325 BERKELEY, CA 94705-2118 US
Tel: 925-253-9203 Fax: 510-841-5650
Tel: 925-253-9203 Fax: 510-841-5650
Registration Information:
NPI: 1740374404
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CA | G25178 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
