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Organization
PINKUS DERMATOPATHOLOGY LABORATORY, PC
Active
Organization
PINKUS DERMATOPATHOLOGY LABORATORY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA VALLADARES (DIRECTOR, PAYER ENROLLMENT)
(561) 514-5822
Entity
Organization
Contact information
Practice address
1314 N MACOMB ST, MONROE, MI 48162-3131
(616) 530-1860
Mailing address
11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 514-5822
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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