Organization
NEW ENGLAND TISSUE ISSUE, PLLC
Active
Other names
New England Tissue Issue, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILSA MARIE RAMIREZ MBA, MHSM (COMPLIANCE SPECIALIST)
(469) 532-0667
Entity
Organization
Contact information
Practice address
1822 N MAIN ST, SUITE 302, FALL RIVER, MA 02720-1318
(401) 523-7512
Mailing address
1822 N MAIN ST, SUITE 302, FALL RIVER, MA 02720-1318
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCO00672
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH
RI
Enumeration date
09/16/2010
Last updated
09/14/2022
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