Organization
ATLANTIC PATHOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGE MCCOLLUM (PRACTICE MANAGER)
(609) 441-2147
Entity
Organization
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-2147
(609) 441-2107
Mailing address
PO BOX 95000-2705, PHILADELPHIA, PA 19195-2705
(609) 441-2147
(609) 441-2107
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31D0005562
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3459705
—
NJ
Enumeration date
07/17/2005
Last updated
06/18/2010
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