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NPI Code Detail

MEDICARE: CENTRAL OHIO PATHOLOGY ASSOCIATES, INC

MEDICARE: CENTRAL OHIO PATHOLOGY ASSOCIATES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1336133610
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL OHIO PATHOLOGY ASSOCIATES, INC
Provider Business Mailing Address
First Line : 6001 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1502
Country : US
Telephone Number : 614-442-2400
Fax Number :
Provider Business Practice Location Address
First Line : 6001 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1502
Country : US
Telephone Number : 614-442-2400
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID A BRYANT
Credential : MD
Telephone Number : 614-442-2400
Provider Enumeration Date : 09/01/2005
Last Update Date : 07/16/2007

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