| NPI | 1396019444 |
|---|---|
| Doing Business As | PATH ASSOC OF FCCC, MGI |
| Entity Type | Organization |
| Authorized Contact | TONYA WOODARD Credentialing/Manager 215-707-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2018-06-14 |