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Organization
FAIRFIELD COUNTY PATHOLOGY CONSULTANTS, LLC
Active
Organization
FAIRFIELD COUNTY PATHOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE M WAGNER-REISS (PRESIDENT)
(203) 576-5033
Entity
Organization
Contact information
Practice address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY, BRIDGEPORT, CT 06606-4201
(203) 576-5033
Mailing address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY, BRIDGEPORT, CT 06606-4201
(203) 576-5033
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/21/2009
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