Provider Demographics
NPI:1275619330
Name:BERKELEY UROLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:BERKELEY UROLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:ABRAHM
Authorized Official - Last Name:PISER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:510-848-1727
Mailing Address - Street 1:2999 REGENT STREET SUITE 612
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705
Mailing Address - Country:US
Mailing Address - Phone:510-848-1727
Mailing Address - Fax:
Practice Address - Street 1:2999 REGENT STREET SUITE 612
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705
Practice Address - Country:US
Practice Address - Phone:510-848-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43674174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty