| NPI | 1700274727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| 207ZN0500X Pathology, Neuropathology | |
| 207ZP0104X Pathology, Chemical Pathology | |
| 207ZP0007X Pathology, Molecular Genetic Pathology | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2020-11-19 |