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Organization
WAYNE PATHOLOGISTS PA
Active
Organization
WAYNE PATHOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE D. ESPINAL-MARIOTTE M.D. (PRESIDENT)
(973) 942-6900
Entity
Organization
Contact information
Practice address
224 HAMBURG TPKE, DEPT. OF PATHOLOGY, WAYNE, NJ 07470-2111
(973) 942-6900
(973) 389-4019
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3368904
—
NJ
01
—
CE1709
RAILROAD MEDICARE
—
Enumeration date
11/22/2005
Last updated
08/03/2007
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