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Organization
PATHOLOGY CONSULTANTS
Active
Organization
PATHOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BOREN MD (PRESIDENT)
(513) 389-5268
Entity
Organization
Contact information
Practice address
2446 KIPLING AVE, CINCINNATI, OH 45239-6650
(513) 389-5268
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(419) 866-1804
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721526
—
OH
01
—
CB3069
RAILROAD MEDICARE
—
Enumeration date
02/17/2006
Last updated
02/15/2008
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