Individual
IRA GOLDITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 FOUNTAINGROVE PKWY, #305, SANTA ROSA, CA 95403-5757
(707) 591-9855
Mailing address
1401 FOUNTAINGROVE PKWY, #305, SANTA ROSA, CA 95403-5757
(707) 591-9855
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G12620
CA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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