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NPI Code Detail

MEDICARE: DR. THOMAS ISADORE MEYER M.D.

MEDICARE:  DR. THOMAS ISADORE MEYER  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
12084P0800XPsychiatry PhysicianA76133CA

General Provider Information

NPI Number : 1417920307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ISADORE MEYER M.D.
Provider Business Mailing Address
First Line : 1429 EUCLID AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94708-1904
Country : US
Telephone Number : 510-204-9955
Fax Number : 510-535-4167
Provider Business Practice Location Address
First Line : 1501 FRUITVALE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2322
Country : US
Telephone Number : 510-535-6200
Fax Number : 510-535-4167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS ISADORE MEYER M.D.” Practice Location

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