Organization
ROWANSOM DEPT OF PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICER)
(856) 770-5729
Entity
Organization
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6560
(856) 488-6846
Mailing address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6560
(856) 488-6846
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084836000
AMERIHEALTH
NJ
05
—
3218503
—
NJ
01
—
CD8996
RR MEDICARE
NJ
Enumeration date
01/24/2006
Last updated
05/03/2013
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