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Physicians Pathology Anatomic Pathology

Provider NPI: 1649564626

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 508-793-6100  Fax: 508-793-6110

Business Mailing Address:
PO BOX 415348  BOSTON, MA 02241-5348 US
Tel: --  Fax: --

NPI Information:
NPI: 1649564626
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Anatomic Pathology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207ZP0101X





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