Organization
CROSSOVER HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SULLIVAN M.D (PHYSICIAN)
(949) 891-0328
Entity
Organization
Contact information
Practice address
4 STANLEY TUCKER DR, NEWBURYPORT, MA 01950-4039
(949) 891-0328
Mailing address
26831 ALISO CREEK RD STE 200, ALISO VIEJO, CA 92656-5341
(949) 891-0328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A73842
CA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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