Organization
OSULLIVAN PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMERALD OSULLIVAN-MEJIA MD (OWNER)
(703) 257-1440
Entity
Organization
Contact information
Practice address
4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7762
(703) 257-1440
Mailing address
9834 BUSINESS WAY, MANASSAS, VA 20110-4151
(703) 257-1440
(703) 257-4337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101244383
VA
Other
Enumeration date
10/18/2016
Last updated
12/22/2016
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