Northeast Dermatopathology Institute

NPI 1477526655 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1477526655
Enumeration Date 02/09/2006
Last Updated 04/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK BRIAN MARK
Position OWNER
Phone (570) 586-4400
Fax (570) 587-5531
Practice Location
233 NORTHERN BLVD
SUITE 1
CLARKS SUMMIT PA, 18411-8720, US
Phone (570) 586-4400
Fax (570) 587-5531
Business Location
233 NORTHERN BLVD
SUITE 1
CLARKS SUMMIT PA, 18411-8720, US
Phone (570) 586-4400
Fax (570) 587-5531
Toxanomy
Taxonomy Code 291U00000X
License State Pennsylvania
License Number 029481
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According to our database, Northeast Dermatopathology Institute NPI is 1477526655, taxonomy code is 291U00000X and license number is 029481, license state is located at Pennsylvania. Northeast Dermatopathology Institute physically located at 233 Northern Blvd, Clarks Summit PA, 18411-8720. NPI Number 1033115704 has the healthcare provider type.

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1477526655 NPI number is provided on an as is basis without warranty of any kind. 1477526655 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Dermatopathology Institute are for informational purposes only.