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 |