Joseph Macedo Jr, | |
2500 Alhambra Ave, Martinez, CA 94553-3156 | |
(925) 370-5110 | |
(925) 370-5142 |
Full Name | Joseph Macedo Jr |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2500 Alhambra Ave, Martinez, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043354814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G84724 (California) | Primary |
Entity Name | Obstetrix Medical Group Of California A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629175336 PECOS PAC ID: 0244120939 Enrollment ID: O20040317000435 |
Entity Name | Obhg California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
Mailing Address | Practice Location Address |
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Joseph Macedo Jr, 50 Douglas Dr, Suite 391, Martinez, CA 94553-4098 Ph: (925) 957-5429 | Joseph Macedo Jr, 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (925) 370-5110 |
Judith Bliss, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142 | |
Joseph E. Bourque, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1000 | |
Charles Berletti, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142 | |
Victoria A. Mancuso, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1000 | |
Huy Dao, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-372-1000 | |
Ruxandra Radu-radulescu, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5608 |