Dr. George Peter Tardelli
Internist - Addiction Medicine
2977 Sacramento St
Berkeley
, California 94702-2534
Dr. George Peter Tardelli
Internist - Addiction Medicine
2977 Sacramento St
Berkeley
, California 94702-2534
(415) 824-2421
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. George Peter Tardelli
- 2977 Sacramento St
- Berkeley, CA
- Zip : 94702-2534
- Fax : (415) 824-2421
- Phone : (415) 305-8285
Second Address
- Dr. George Peter Tardelli
- 2977 Sacramento St
- Berkeley, CA
- Zip : 94702-2534
- Fax : (415) 824-2421
- Phone : (415) 305-8285
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | G43528 | CA |
National Provider Identifier
| NPI | 1487838835 |
|---|---|
| Provider Name | Dr. George Peter Tardelli |
| First Address | Berkeley, CA 94702-2534 |
| Second Address | Berkeley, CA 94702-2534 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2007 |
| Last Update Date | 20/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A49378 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.