Organization
PALM BEACH PATHOLOGY PA
Active
Other names
Martin Pathology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A BOLTON MD (PRESIDENT)
(954) 240-9555
Entity
Organization
Contact information
Practice address
300 HOSPITAL AVE, STUART, FL 34994-2338
(954) 240-9555
(770) 776-5966
Mailing address
PO BOX 4117, WEST PALM BEACH, FL 33402-4117
(954) 240-9555
(770) 776-5966
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258264300
—
FL
01
—
77313
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/28/2008
Last updated
08/12/2008
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