Organization
GREYLOCK PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH AUGUST MD (PARTNER)
(413) 664-5584
Entity
Organization
Contact information
Practice address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247
(413) 664-5589
(413) 664-5698
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1949
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34627
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
77828
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9756582
—
MA
01
—
CA2477
RR MEDICARE
MA
Enumeration date
02/01/2006
Last updated
09/26/2008
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