Organization
ORTHOPEDIC PATHOLOGY CONSULTANTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GILL BULLOUGH (GENERAL PARTNER)
(212) 606-1259
Entity
Organization
Contact information
Practice address
535 E 70TH ST, DEPT. OF LABORATORY MEDICINE, NEW YORK, NY 10021-4872
(212) 606-1259
Mailing address
535 E 70TH ST, DEPT. OF LABORATORY MEDICINE, NEW YORK, NY 10021-4872
(212) 606-1259
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W19801
EMPIRE BCBS GROUP NUMBER
NY
Enumeration date
10/10/2006
Last updated
09/24/2007
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