Organization
POMPTON PLAINS PATHOLOGISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSAM A. AHMED M.D. (PRESIDENT)
(973) 831-5046
Entity
Organization
Contact information
Practice address
97 W PARKWAY, DEPT. OF PATHOLOGY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5046
(973) 831-5194
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8605301
—
NJ
01
—
CH9514
RAILROAD MEDICARE
—
Enumeration date
11/11/2005
Last updated
08/03/2007
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