Organization
PROFESSIONAL PATHOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SRODON MD (MEMBER)
(203) 996-8125
Entity
Organization
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(203) 996-8125
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(203) 996-8125
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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