EILEEN T. CONSORTI, MD
Radiology at Colby St, Berkeley, CA

License number
California G865870
Category
Radiology
Type
Surgery
Owner
Name: EILEEN T. CONSORTI M.D.
Title: PRESIDENT
Phone: (510) 848-1800
Address
Address 2
3000 Colby St #201, Berkeley, CA 94705
PO Box 3669, Santa Rosa, CA 95402
National Provider ID: 1417179821
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EILEEN T. CONSORTI, M.D., A PROFESSIONAL CORPORATION

3000 Colby St STE #201, Berkeley, CA 94704

Doing business as:
Eileen T Consorti MD
Registration:
Jan 4, 2006
Phone:
(510) 848-1800 (Phone)
State ID:
C2787286
Business type:
Articles of Incorporation
President:
Eileen T. Consorti (President)
Agent:
Johanna Mcclay,Berkeley, CA 94704 (Physical)
Categories:
General Surgeons

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