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Individual

ANTHONY EDMUND MAGIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3030 CHILDRENS WAY, SUITE 402, SAN DIEGO, CA 92123-4232
(858) 309-7701
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
G71859
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
G71859
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G718590
CA
Enumeration date
12/18/2006
Last updated
10/10/2011
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