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NPI Code Detail

MEDICARE: DB PATHOLOGY

MEDICARE: DB PATHOLOGY
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
1207ZP0101XAnatomic Pathology Physician

General Provider Information

NPI Number : 1811450182
Entity Type Code : Organization
Provider Name (Legal Business Name) : DB PATHOLOGY
Provider Business Mailing Address
First Line : 24 MERCHANT ST
Second Line :
City : NEWARK
State : NJ
Zip : 07105-2847
Country : US
Telephone Number : 973-645-0000
Fax Number : 973-645-0001
Provider Business Practice Location Address
First Line : 24 MERCHANT ST
Second Line :
City : NEWARK
State : NJ
Zip : 07105-2847
Country : US
Telephone Number : 973-645-0000
Fax Number : 973-645-0001
Authorized Official
Title or Position : MANAGER
Name : OSCAR MOLINA
Credential :
Telephone Number : 973-645-0000
Provider Enumeration Date : 04/12/2019
Last Update Date : 04/12/2019

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Directions to “DB PATHOLOGY ” Practice Location

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