| NPI | 1326890336 |
|---|---|
| Former Legal Business Name | MGH MEDICAL GROUP OH LLC |
| Doing Business As | MGH MEDICAL GROUP OH LLC |
| Entity Type | Organization |
| Authorized Contact | GEMINISA SOLORZANO Crco Revenue Cycle Director 954-667-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-04 |