Organization
ST. JOSEPH PATHOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W EAGEN M.D. (PRESIDENT)
(410) 337-1000
Entity
Organization
Contact information
Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
Mailing address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
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
01
—
KW45ST
BLUE SHIELD
MD
01
—
R427
GHI
DC
Enumeration date
11/16/2006
Last updated
01/09/2008
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