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Organization

FAIRFIELD COUNTY PATHOLOGY CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE M WAGNER-REISS (PRESIDENT)
(203) 576-5033
Entity
Organization

Contact information

Practice address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY, BRIDGEPORT, CT 06606-4201
(203) 576-5033
Mailing address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY, BRIDGEPORT, CT 06606-4201
(203) 576-5033

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
09/20/2006
Last updated
07/21/2009
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