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1477547008
EDWARD L ELLSWORTH
LOS GATOS, CA
NPI
1477547008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: CA A21796)
Enumeration Date
2005-09-09
Last Update Date
2014-05-30
Business Address
EDWARD L ELLSWORTH M.D.
815 POLLARD RD
LOS GATOS, CA 95032-1438
Phone number: 408-866-4060
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Mailing Address
EDWARD L ELLSWORTH M.D.
PO BOX 31001
PASADENA, CA 91110-2078
Phone number: 800-288-8325
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