Organization
MATRIX PATHOLOGY AND LABORATORY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WELDON SANFORD M.D. (OWNER)
(603) 732-8656
Entity
Organization
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-8174
Mailing address
4 HARVEST VW, AMHERST, NH 03031-3343
(603) 732-8656
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
759903
NH
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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