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Organization
DIAGNOSTIC PATHOLOGY CONSULTANTS PA
Active
Organization
DIAGNOSTIC PATHOLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OBANDO M.D. (HEAD PATHOLOGIST)
(865) 325-3184
Entity
Organization
Contact information
Practice address
100 BOWMAN DRIVE, PATHOLOGY DEPT, VOORHEES, NJ 08043-0804
(856) 247-3174
Mailing address
100 BOWMAN DRIVE, PATHOLOGY DEPT, VOORHEES, NJ 08043-0100
(856) 274-3174
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036641
—
NJ
01
—
2001257497
BLUE CROSS BLUE SHIELD
NJ
Enumeration date
07/17/2005
Last updated
04/12/2023
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