Organization
ESOTERIX GENETIC COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
833 CHESTNUT ST, STE 1250, PHILADELPHIA, PA 19107-4414
(215) 351-2331
Mailing address
PO BOX 2270, BURLINGTON, NC 27216-2240
(800) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/11/2013
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