Provider Demographics
NPI:1689649212
Name:PFISTER, DAVID ALFRED (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALFRED
Last Name:PFISTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 30TH ST
Mailing Address - Street 2:SUITE #525
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3424
Mailing Address - Country:US
Mailing Address - Phone:510-452-3375
Mailing Address - Fax:510-839-7705
Practice Address - Street 1:350 30TH ST
Practice Address - Street 2:SUITE #525
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3424
Practice Address - Country:US
Practice Address - Phone:510-452-3375
Practice Address - Fax:510-839-7705
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG56495207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G564950Medicaid
CA110018492OtherMEDICARE RAILROAD
CA00G564950Medicaid
CA110018492OtherMEDICARE RAILROAD