Organization
BROOKVILLE PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY F HAVERTY D.O. (PATHOLOGIST)
(814) 849-5268
Entity
Organization
Contact information
Practice address
82 BARNETT ST, BROOKVILLE, PA 15825-1262
(814) 849-5268
Mailing address
82 BARNETT ST, BROOKVILLE, PA 15825-1262
(814) 849-5268
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
OS003196L
PA
Other
Enumeration date
03/26/2007
Last updated
07/22/2008
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