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NPI Code Detail

MEDICARE: DR. ROBERT W. BRINSKO MD

MEDICARE: DR. ROBERT W. BRINSKO MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianG68817CA

General Provider Information

NPI Number : 1629070107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT W. BRINSKO MD
Provider Business Mailing Address
First Line : 275 W MACARTHUR
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5641
Country : US
Telephone Number : 510-752-1000
Fax Number :
Provider Business Practice Location Address
First Line : 275 W MACARTHUR
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5641
Country : US
Telephone Number : 510-752-1000
Fax Number : 760-725-1190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 09/11/2014

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