| NPI | 1477754091 |
|---|---|
| Doing Business As | GROSSMONT HEART CENTER MEDICAL GROUP, INC |
| Entity Type | Organization |
| Authorized Contact | JACK STUART MADOWITZ Physician 619-667-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA g040881) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-10-16 |