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Organization

CHILDREN'S HOSPITAL PATHOLOGY FOUNDATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN A. BACI M.B.A. (DIRECTOR OF ADMINISTRATION)
(617) 355-4589
Entity
Organization

Contact information

Practice address
300 LONGWOOD AVE, DEPARTMENT OF PATHOLOGY - BADER 138, BOSTON, MA 02115-5724
(617) 355-4589
(617) 730-0674
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF PATHOLOGY - BADER 138, BOSTON, MA 02115-5724
(617) 355-4589
(617) 730-0674

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9762396
MA
Enumeration date
03/21/2006
Last updated
09/24/2008
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