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Organization
PATHOLOGY ASSOCIATES, PC
Active
Organization
PATHOLOGY ASSOCIATES, PC
Active
Other names
Pathology Associates of South Amboy, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH KUMAR GUPTA M.D. (PRESIDENT)
(973) 266-4444
Entity
Organization
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 266-4444
(973) 266-2932
Mailing address
4567 CROSSROADS PARK DRIVE, LIVERPOOL, NY 13088-3589
(315) 434-9309
(315) 454-0136
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA04299600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7165901
—
NJ
Enumeration date
07/18/2006
Last updated
02/10/2009
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