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Individual

EDWARD J SHARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8635 W 3RD ST, STE 970W, LOS ANGELES, CA 90048-6101
(310) 652-4472
Mailing address
8631 W 3RD ST, STE 1015E, LOS ANGELES, CA 90048-5901
(310) 652-4472

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G30101
CA

Other

Enumeration date
07/28/2006
Last updated
02/18/2010
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