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1578581971
JACK STUART MADOWITZ
LA MESA, CA
NPI
1578581971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G40881)
Enumeration Date
2006-07-17
Last Update Date
2007-08-17
Business Address
Dr. JACK STUART MADOWITZ M.D.
8851 CENTER DR STE 312
LA MESA, CA 91942-3050
Phone number: 619-667-0708
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Mailing Address
Dr. JACK STUART MADOWITZ M.D.
8851 CENTER DR STE 312
LA MESA, CA 91942-3050
Phone number: 619-667-0708
Copy
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