Healthcare Provider Details

I. General information

NPI: 1093744633
Provider Name (Legal Business Name): RANCOCAS ZURBRUGG PATHOLOGY ASSOC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218A SUNSET ROAD
WILLINGBORO NJ
08046
US

IV. Provider business mailing address

PO BOX 5075
CHERRY HILL NJ
08034-5075
US

V. Phone/Fax

Practice location:
  • Phone: 856-616-8600
  • Fax: 856-616-1919
Mailing address:
  • Phone: 856-616-8100
  • Fax: 856-616-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HONG Y CHOI
Title or Position: MEDICAL DIRECTOR OF CLINICAL LAB
Credential: MD
Phone: 856-616-8100