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Organization

HEALING EDGE MEDICAL GROUP OR PROFESSIONAL CORPORATION

Active
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Organization

HEALING EDGE MEDICAL GROUP OR PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK SUPPA (OWNER)
(615) 499-3165
Entity
Organization

Contact information

Practice address
100 E HUNTINGTON DR STE 203, ALHAMBRA, CA 91801-1022
(615) 499-3165
Mailing address
329 S OYSTER BAY RD STE 2059, PLAINVIEW, NY 11803-3301

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/15/2024
Last updated
11/15/2024
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