# BEAVER VALLEY PATHOLOGY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225245566
- **Authorized official:** DR. TAE C MIN MD (HEAD OF DEPARTMENT)
- **Authorized official phone:** (724) 773-4597

## Contact information

- **Practice address:** 1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
- **Practice address phone:** (724) 773-4584
- **Mailing address:** 349 WALNUT ST, SEWICKLEY, PA 15143-1530
- **Mailing address phone:** (412) 741-8239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | MT187540 | PA | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020