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Organization

KRISTEN M NASSERY MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTEN MARIE NASSERY MD (PRESIDENT, SECRETARY, AND TREASURER)
(859) 468-1742
Entity
Organization

Contact information

Practice address
3601 VISTA WAY STE 203, OCEANSIDE, CA 92056-4559
(760) 724-5352
(760) 724-5447
Mailing address
3601 VISTA WAY STE 203, OCEANSIDE, CA 92056-4559
(760) 724-5352
(760) 724-5447

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
208C00000X
Colon & Rectal Surgery Physician
261QA1903X
Ambulatory Surgical Clinic/Center
282N00000X
General Acute Care Hospital

Other

Enumeration date
08/29/2022
Last updated
02/01/2023
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