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Organization
THE HEART CENTER OF SAN DIEGO MEDICAL GROUP, INC
Active
Organization
THE HEART CENTER OF SAN DIEGO MEDICAL GROUP, INC
Active
Other names
grossmont heart center medical group, inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK STUART MADOWITZ M.D. (PHYSICIAN)
(619) 667-0708
Entity
Organization
Contact information
Practice address
8851 CENTER DR STE 312, LA MESA, CA 91942-3050
(619) 667-0708
Mailing address
8851 CENTER DR STE 312, LA MESA, CA 91942-3050
(619) 667-0708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G040881
CA
Other
Enumeration date
05/30/2007
Last updated
10/16/2007
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