Organization
PLYMOUTH PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD G BARDAWIL M.D. (OWNER)
(508) 746-2000
Entity
Organization
Contact information
Practice address
275 SANDWICH ST, JORDAN HOSPITAL, PLYMOUTH, MA 02360-2183
(508) 830-2466
Mailing address
275 SANDWICH ST, JORDAN HOSPITAL, PLYMOUTH, MA 02360-2183
(508) 830-2466
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9777571
—
MA
Enumeration date
03/16/2006
Last updated
03/27/2012
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