Organization
MEDFORD CLINICAL LABORATORIES
Active
Parent organization
HALLMARK PATHOLOGY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALLMARK PATHOLOGY, P.C.
Authorized official
DR. CONSTANTINE PAPPAS M.D. (PRESIDENT)
(781) 306-6986
Entity
Organization
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 306-6000
Mailing address
1342 BELMONT ST, SUITE 205, BROCKTON, MA 02301-4436
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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