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NPI Code Detail

MEDICARE: JAMES G CUTHBERTSON M.D.

MEDICARE: JAMES G CUTHBERTSON 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
1208000000XPediatrics PhysicianG30020CA

General Provider Information

NPI Number : 1225058290
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES G CUTHBERTSON M.D.
Provider Business Mailing Address
First Line : 1650 WALNUT ST
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1606
Country : US
Telephone Number : 510-848-2566
Fax Number :
Provider Business Practice Location Address
First Line : 1650 WALNUT ST
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1606
Country : US
Telephone Number : 510-848-2566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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