Organization
ADVANCED PATHOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS CACCIABEVE MD (MANAGING DIRECTOR)
(240) 826-6093
Entity
Organization
Contact information
Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-7600
Mailing address
PO BOX 79906, BALTIMORE, MD 21279-0906
(240) 566-1600
(240) 566-1605
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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