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Individual

DR. MAKI C. GOSKOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8860 CENTER DR, STE 300, LA MESA, CA 91942-3068
(619) 462-1670
(619) 462-3209
Mailing address
8860 CENTER DR, STE 300, LA MESA, CA 91942-3068
(619) 462-1670
(619) 462-3209

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G73340
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G73340
CA
207NS0135X
Procedural Dermatology Physician
G73340
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G733400
CA
Enumeration date
07/12/2005
Last updated
08/03/2022
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