Organization
CENTER FOR DERMATOPATHOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CHAN M.D. (PRESIDENT AND DIRECTOR)
(610) 348-1437
Entity
Organization
Contact information
Practice address
101 CHESLEY DR, SUITE 201, MEDIA, PA 19063-1761
(610) 566-3088
Mailing address
101 CHESLEY DR, SUITE 201, MEDIA, PA 19063-1761
(610) 566-3088
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D1092722
PA
Other
Enumeration date
01/21/2009
Last updated
02/17/2009
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