Organization
DIAGNOSTIC PATHOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RICKERT MD (CHIEF)
(973) 322-5763
Entity
Organization
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(888) 724-7123
Mailing address
PO BOX 66689, FALMOUTH, ME 04105-6689
(866) 689-8862
(207) 347-7401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2748509
—
NJ
Enumeration date
10/12/2006
Last updated
08/22/2020
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