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Organization
NEWTON WELLESLEY PATHOLOGY ASSOCIATES, PC
Active
Organization
NEWTON WELLESLEY PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAY ROSS M.D. (SECRETARY, BOARD OF DIRECTORS)
(617) 243-6140
Entity
Organization
Contact information
Practice address
2014 WASHINGTON ST, DEPARTMENT OF PATHOLOGY, NEWTON, MA 02462-1607
(617) 243-6140
(617) 243-5809
Mailing address
PO BOX 490940, LAWRENCEVILLE, GA 30049-0016
(770) 237-4500
(770) 237-4539
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9735861
—
MA
Enumeration date
04/25/2006
Last updated
10/05/2007
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