Organization
CALVERT PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY ISABEL ULANOWICZ M.D. (AGENT)
(410) 535-8327
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-8327
Mailing address
1911 WATSON RD, OWINGS, MD 20736-9720
(410) 535-8327
(410) 535-8355
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D22805
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326251100
—
MD
Enumeration date
10/07/2016
Last updated
10/07/2016
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