Organization
BEAVER VALLEY PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAE C MIN MD (HEAD OF DEPARTMENT)
(724) 773-4597
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4584
Mailing address
349 WALNUT ST, SEWICKLEY, PA 15143-1530
(412) 741-8239
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT187540
PA
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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