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NPI Code Detail

MEDICARE: DR. HENRY GEOFFREY WATSON M.D.

MEDICARE:  DR. HENRY GEOFFREY WATSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistC41403CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235142894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY GEOFFREY WATSON M.D.
Provider Business Mailing Address
First Line : 5709 MARKET ST
Second Line :
City : OAKLAND
State : CA
Zip : 94608-2811
Country : US
Telephone Number : 510-444-9460
Fax Number : 510-444-1966
Provider Business Practice Location Address
First Line : 5709 MARKET ST
Second Line :
City : OAKLAND
State : CA
Zip : 94608-2811
Country : US
Telephone Number : 510-444-9460
Fax Number : 510-444-1966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 02/14/2013

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Directions to “ DR. HENRY GEOFFREY WATSON M.D.” Practice Location

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