Organization
SURGICAL PATHOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C MCGINNIS MD (PRESIDENT)
(609) 723-0070
Entity
Organization
Contact information
Practice address
207 GEORGETOWN WRIGHTSTOWN RD, WRIGHTSTOWN, NJ 08562-2520
(609) 723-0070
(609) 723-0073
Mailing address
207 GEORGETOWN WRIGHTSTOWN RD, WRIGHTSTOWN, NJ 08562-2520
(609) 723-0070
(609) 723-0073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA00747300
NJ
291U00000X
Clinical Medical Laboratory
Primary
25MA00747300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051543
—
NJ
05
—
100745580A
—
OK
01
—
2359692000
AMERIHEALTH
NJ
01
—
5001537
GHI
NJ
01
—
DD1085
RR MEDICARE
—
Enumeration date
08/09/2006
Last updated
09/16/2013
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