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Organization

FAULKNER PATHOLOGISTS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN M POCHEBIT (PRESIDENT)
(617) 983-7663
Entity
Organization

Contact information

Practice address
1153 CENTRE ST, FAULKNER HOSPITAL, JAMAICA PLAIN, MA 02130-3446
(617) 983-7663
Mailing address
1153 CENTRE ST, FAULKNER HOSPITAL, JAMAICA PLAIN, MA 02130-3446
(617) 983-7663

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9713140
MA
Enumeration date
08/23/2006
Last updated
08/22/2020
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