Organization
EASTON PATHOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD DORMAN MD (DIRECTOR/ACTIVE ATTENDING)
(610) 250-4231
Entity
Organization
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4231
(610) 250-4143
Mailing address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4231
(610) 250-4143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD026639E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010607560011
—
PA
Enumeration date
03/24/2006
Last updated
08/22/2020
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