Individual
GRACE MARIA WESOLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 SAND LAKE RD, ORLANDO, FL 32809-7644
(407) 888-1051
(407) 856-0333
Mailing address
233 BROOKFIELD DR, JACKSON, NJ 08527-3862
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
25MA05900100
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA05900100
NJ
Other
Enumeration date
06/22/2005
Last updated
07/13/2007
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