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1346696358
IRA GOLDITCH
SANTA ROSA, CA
NPI
1346696358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA G12620)
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
-- IRA GOLDITCH M.D.
1401 FOUNTAINGROVE PKWY #305
SANTA ROSA, CA 95403-5757
Phone number: 707-591-9855
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Mailing Address
-- IRA GOLDITCH M.D.
1401 FOUNTAINGROVE PKWY #305
SANTA ROSA, CA 95403-5757
Phone number: 707-591-9855
Copy
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