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General NPI Number Information
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NPI Number | 1720125222
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Entity Type | Organization
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Legal Business Name | PATHOLOGY ASSOCIATES OF DELAWARE VALLEY, PC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3131 PRINCETON PIKE 5-110
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2201
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Country | US
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Telephone | 609-895-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 PRINCETON PIKE 5-110
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2201
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Country | US
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Telephone | 609-895-0933
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT MOSER
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Credential | MD
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Telephone | 609-895-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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