ALVIN PRINCE BANNERJEE

CALIFORNIA AVANT-GARDE PHYSICIANS

Dr ALVIN PRINCE BANNERJEE is a male medical professional, specializing in Podiatry. He graduated in 2011 from Temple University School Of Medicine.

Contact

CALIFORNIA AVANT-GARDE PHYSICIANS

686 3RD ST W
SONOMA
CA
954766805

Tel: 2672394607

ALVIN PRINCE BANNERJEE Information

Npi 1225329873
Pac Id 8921239864
Professional Enrollment Id I20171114002178
Last Name BANNERJEE
First Name ALVIN
Middle Name PRINCE
Suffix
Gender M
Credential
Medical School Name TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CALIFORNIA AVANT-GARDE PHYSICIANS
Group Practice Pac Id 3173881927
Number Of Group Practice Members 2
Line 1 Street Address 686 3RD ST W
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SONOMA
State CA
Zip Code 954766805
Phone Number 2672394607
Hospital Affiliation Ccn 1 050090
Hospital Affiliation Lbn 1 SONOMA VALLEY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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