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SUSANA ACEVEDO MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1801971569

Individual Registrant:
 SUSANA  ACEVEDO MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
901 NEVIN AVE  RICHMOND, CA 94801-3143 US
Tel: 510-307-1500  Fax: --

Contact information for business:
1800 HARRISON ST FL 7  OAKLAND, CA 94612-3429 US
Tel: 510-625-6262  Fax: --

Registration Information:
NPI: 1801971569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA74960

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A749600CA05




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