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Physicians Pathology Anatomic Pathology

Provider NPI: 1649295478

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 540-741-1168  Fax: 540-741-1422

Business Mailing Address:
PO BOX 822789  PHILADELPHIA, PA 19182-2789 US
Tel: 540-741-1130  Fax: 540-741-1422

NPI Information:
NPI: 1649295478
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Anatomic Pathology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207ZP0101X





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