| Doctor Name: | MRS. ROSA MARIA GIDOWSKI |
| NPI Number: | 1689742702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A53575 |
| Business Practice Address: | 368 W Badillo St Covina, CA - 917232212 |
| Business Phone Number: | 6269155161 |
| Business Fax Number: | 6269155162 |
| Mailing Address: | 368 W Badillo St, COVINA |
| State: | CA |
| Postal Code: | 917232212 |
| Phone Number: | 6269155161 |
| Fax Number: | 6269155162 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 01/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 09/17/2012 |
| NPI Reactivation Date: | 12/26/2012 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A53575 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |