Organization
HALLMARK PATHOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. GRATTENDICK (TREASURER)
(561) 626-5512
Entity
Organization
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3135
(770) 666-9305
Mailing address
11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 626-5512
(561) 626-4530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22D0077627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9783156
—
MA
01
—
M20510
PTAM
MA
Enumeration date
03/08/2006
Last updated
09/15/2015
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