Organization
MASSILLON PATHOLOGISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J GREGORY FECZKO DO (PRESIDENT)
(330) 832-8761
Entity
Organization
Contact information
Practice address
875 8TH ST NE, MASSILLON, OH 44646-8503
(330) 832-8761
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(330) 832-8761
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2474308
—
OH
Enumeration date
03/28/2006
Last updated
10/19/2007
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