Organization
PENINSULA PATHOLOGY ASSOCIATES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M SMITH MD (PRESIDENT)
(757) 594-2160
Entity
Organization
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2160
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB8272
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
03/12/2018
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