Organization
SOUTHWESTERN PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C MCGINNIS MD (DIRECTOR OF PATHOLOGY)
(609) 723-0070
Entity
Organization
Contact information
Practice address
207 GEORGETOWN WRIGHTSTOWN RD, WRIGHTSTOWN, NJ 08562-2520
(866) 978-3111
(866) 771-2195
Mailing address
207 GEORGETOWN WRIGHTSTOWN RD, WRIGHTSTOWN, NJ 08562-2520
(866) 978-3111
(866) 771-2195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07747300
NJ
291U00000X
Clinical Medical Laboratory
Primary
25MA07747300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051543
—
NJ
05
—
0052167
—
NJ
01
—
2359692000
AMERIHEALH
NJ
01
—
5001537
GHI
NJ
01
—
DD1085
RR MEDICARE
—
Enumeration date
08/09/2006
Last updated
01/08/2014
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