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 |