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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