CROSSOVER HEALTH MEDICAL GROUP NPI 1104263953

NPI Information

CROSSOVER HEALTH MEDICAL GROUP is a specialist in Gloucester, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CROSSOVER HEALTH MEDICAL GROUP NPI is 1104263953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 DORY RD
GLOUCESTER, MA
ZIP 01930-236
Phone: (949) 891-0328

The provider's authorized official is Richard M Patragnoni .
The authorized official title is Medical Director and has the following contact phone number (949) 891-0328.

The CLIA number assigned to this NPI record is 05D2111975 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2013 and was last updated on 6/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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