Organization
MASSACHUSETTS MEDICAL GROUP, P.C.
Active
Organization
MASSACHUSETTS MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PREINER (CEO)
(760) 710-2863
Entity
Organization
Contact information
Practice address
6076 CORTE DEL CEDRO, CARLSBAD, CA 92011-1514
(760) 710-2863
Mailing address
75 HOLIDAY DR, ENGLEWOOD, OH 45322-2706
(760) 710-2863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/22/2022
Last updated
01/04/2023
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