Organization
COHEN DERMATOPATHOLOGY, PC
Active
Organization
COHEN DERMATOPATHOLOGY, PC
Active
Other names
Inform Diagnostics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SUE PIRTZ (VP, MANAGED CARE)
(480) 309-2674
Entity
Organization
Contact information
Practice address
270 FARMINGTON AVE, SUITE 332, FARMINGTON, CT 06032-1934
(617) 969-4100
Mailing address
6655 NORTH MACARTHUR BOULEVARD, ATTN: MANAGED CARE DEPARTMENT, IRVING, TX 75039-2443
(214) 596-7031
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/25/2018
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