Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | A24314 | CA |
NPI | 1063550515 |
---|---|
Provider Name | Dr. John Edward Swartzberg |
First Address | Berkeley, CA 94720-1191 |
Second Address | Berkeley, CA 94720-1191 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2007 |
Last Update Date | 10/07/2007 |