Individual
DR. MARK DAVID EWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVENUE, DEPT OF PATHOLOGY, BOX #36, NEW YORK, NY 10065
(212) 639-8137
Mailing address
1275 YORK AVENUE, DEPT OF PATHOLOGY, BOX #36, NEW YORK, NY 10065
(212) 639-8137
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
DR.0058760
CO
207ZH0000X
Hematology (Pathology) Physician
A121762
CA
207ZH0000X
Hematology (Pathology) Physician
DR.0058760
CO
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
DR.0058760
CO
Other
Enumeration date
04/20/2009
Last updated
08/25/2021
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