Organization
CAG GROUP PC
Active
Other names
dermatopathology consultation services
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE M VINCENT MD (PRESIDENT)
(443) 927-7364
Entity
Organization
Contact information
Practice address
1319 PARK AVE, BALTIMORE, MD 21217-4104
(443) 927-7364
(800) 419-7485
Mailing address
7095 HOLLYWOOD BLVD, SUITE 338, HOLLYWOOD, CA 90028-8903
(443) 927-7364
(800) 419-7485
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D0649684
MD
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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