Provider Demographics
NPI:1104993906
Name:BAROMEDICAL ASSOCIATES
Entity type:Organization
Organization Name:BAROMEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:TUFFT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-970-5674
Mailing Address - Street 1:2000 VALE RD
Mailing Address - Street 2:DEPT OF HYPERBARIC MEDICINE
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3808
Mailing Address - Country:US
Mailing Address - Phone:510-970-5674
Mailing Address - Fax:510-970-5170
Practice Address - Street 1:2000 VALE RD
Practice Address - Street 2:DEPT OF HYPERBARIC MEDICINE
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3808
Practice Address - Country:US
Practice Address - Phone:510-970-5343
Practice Address - Fax:510-970-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ18343ZMedicare ID - Type Unspecified
CAZZZ18346ZMedicare ID - Type Unspecified
CAZZZ18345ZMedicare ID - Type Unspecified