Organization · Type 2 NPI
Crossover Health Medical Group
Specialist · Gloucester, MA
NPI number
1104263953
Active
Practice location
35 Dory Rd
Gloucester, MA 01930-2236
Mailing address
26831 Aliso Creek Rd Ste 200
Aliso Viejo, CA 92656-5341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A62815 (CA) |
Specialist: 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.
Another provider at this address
Other specialist providers in Gloucester
About NPI 1104263953
Crossover Health Medical Group's National Provider Identifier is 1104263953, issued on Jun 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gloucester, MA. The record was last updated on Jun 3, 2013.