Provider Information for 1336546035
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JARED R. GORFINKEL
Sex: Male
NPI: 1336546035
Last Updated: 2022-07-18
Certification Date: 2022-07-18
Certification Date: 2022-07-18
Details
| Name | Value | ||||||||||||||||
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| NPI | 1336546035 | ||||||||||||||||
| Enumeration Date | 2014-11-24 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 2728 DURANT AVE BERKELEY, CA 94704-1725 United States Phone: | Fax: | ||||||||||||||||
| Primary Practice Address | 2728 DURANT AVE BERKELEY, CA 94704-1725 United States Phone: 510-548-9716 | Fax: | ||||||||||||||||
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