Maidenberg, Amy M.

Maidenberg, Amy M. is an sole proprietor health care provider with primary practice located at 4329 Piedmont Ave , Oakland CA 94611-4715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maidenberg, Amy M. can be contacted via phone (510) 418-9331.

Contact Information

Primary practice address
4329 Piedmont Ave Oakland CA 94611-4715
Phone: (510) 418-9331
Fax: (888) 844-4383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00040212 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A98623 California

Profile Details

NPI number 1265420244
LBN Legal business name Maidenberg, Amy M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jan 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265420244 NPPES
Washington MEDICAID 8373482

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