| NPI | 1063464477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWA J GASZEK Credentialer 860-282-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology |
| 207ZP0101X Pathology, Anatomic Pathology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-02-20 |