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DR. MYLES B. ABBOTT M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1740374404

Individual Registrant:
DR. MYLES B. ABBOTT M.D.
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

Contact information for business:
2999 REGENT ST. SUITE 325 BERKELEY, CA 94705-2118 US
Tel: 925-253-9203  Fax: 510-841-5650

Registration Information:
NPI: 1740374404
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAG25178

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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