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Organization
DELTA MEDICAL GROUP OF PATHOLOGISTS, INC.
Active
Organization
DELTA MEDICAL GROUP OF PATHOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIRA MILANO M.D. (PRESIDENT)
(408) 891-0837
Entity
Organization
Contact information
Practice address
975 S FAIRMONT AVE, CONRAD BUILDING, LODI, CA 95240-5118
(408) 891-0837
Mailing address
PO BOX 2390, LODI, CA 95241-2390
(408) 891-0837
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
NULL
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
NULL
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
NULL
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0104X
Chemical Pathology Physician
—
NULL
207ZP0104X
Chemical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
05/27/2009
Last updated
05/22/2013
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