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Organization
GATEWAY COMPREHENSIVE MEDICAL GROUP
Active
Organization
GATEWAY COMPREHENSIVE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK I HASSANEIN MD (MD)
(619) 264-1934
Entity
Organization
Contact information
Practice address
995 GATEWAY CENTER WAY STE 105, SAN DIEGO, CA 92102-4544
(619) 264-1934
Mailing address
PO BOX 181770, CORONADO, CA 92178-1770
(619) 264-1934
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A54452
CA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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