Basic Information
Provider Information
NPI: 1376618777
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZIEL
FirstName: BARBARA
MiddleName: BERTRAM
NamePrefix: MS.
NameSuffix:  
Credential: MS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 280 W MACARTHUR BLVD
Address2: GENETICS DEPT.
City: OAKLAND
State: CA
PostalCode: 946115642
CountryCode: US
TelephoneNumber: 5107526396
FaxNumber: 5107526754
Practice Location
Address1: 3505 BROADWAY
Address2: 7TH FLOOR, GENETICS DEPT.
City: OAKLAND
State: CA
PostalCode: 946115714
CountryCode: US
TelephoneNumber: 5107526396
FaxNumber: 5107526754
Other Information
ProviderEnumerationDate: 11/21/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
170300000X  Y Other Service ProvidersGenetic Counselor, MS 

No ID Information.


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