| NPI | 1487770129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SCHWAGER President Chairman 401-456-2662 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology |
| 207ZC0006X Pathology Clinical Pathology | |
| 207N00000X Dermatology | |
| 207ND0900X Dermatology Dermatopathology | |
| 207ZH0000X Pathology Hematology | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-12-11 |