| NPI | 1306915764 |
|---|---|
| Doing Business As | KENNEDY SURGICAL PATHOLOGY MEDICAL ASSOCIATES, INC |
| Entity Type | Organization |
| Authorized Contact | STEVEN P BLEIWEISS Md/President 909-881-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G20642) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-07-29 |