CROSSOVER HEALTH MEDICAL GROUP
Medical Practice at Dory Rd, Gloucester, MA

License number
Massachusetts A62815
Category
Medical Practice
Type
Specialist
Owner
Name: RICHARD M PATRAGNONI M.D
Title: MEDICAL DIRECTOR
Phone: (949) 891-0328
Address
Address 2
35 Dory Rd, Gloucester, MA 01930
26831 Aliso Creek Rd STE 200, Laguna Beach, CA 92656
National Provider ID: 1104263953
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CROSSOVER HEALTH MEDICAL GROUP at bizstanding.com

CROSSOVER HEALTH MEDICAL GROUP, APC

Laguna Beach, CA  -  San Juan Capistrano, CA

Industry:
Health/Allied Services
Doing business as:
Crossover Health Medical Group, Apc
Registration:
Jun 4, 2012
Addresses:
65 Enterprise, Aliso Viejo, CA 92656 (Mailing)
27101 Puerta Real, San Juan Capistrano, CA 92691
26831 Aliso Crk Rd, Laguna Beach, CA 92656
State ID:
0801606798
Business type:
Foreign Professional Corporation
Directors:
Jeff Crichton (CONTROLLER, Controller), 65 Enterprise, Aliso Viejo, CA 92656,Scott Shreeve (President),Richard Patragnoni Director, inactive
Agent:
Northwest Registered Agent Llc,700 Lavaca, Austin, TX 78701 (Physical)
TIN:
32048151040

Medical Practice licenses in Massachusetts










Other Doctors licenses in Massachusetts