Organization
GEM CITY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROBERT MASTANDREA D.O. (OWNER)
(937) 438-9064
Entity
Organization
Contact information
Practice address
7668 PARAGON RD, STE A, CENTERVILLE, OH 45459-4049
(937) 438-9064
(937) 438-5060
Mailing address
7668 PARAGON RD, STE A, CENTERVILLE, OH 45459-4049
(937) 438-9064
(937) 438-5060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012895
—
OH
Enumeration date
06/14/2006
Last updated
05/02/2014
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