Organization
LIBERTY DIAGNOSTIC PATHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN STRAND M.D. (DIRECTOR OF OPERATIONS)
(201) 915-2485
Entity
Organization
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2485
(201) 915-2377
Mailing address
4567 CROSSROADS PARK DR, 2ND FLOOR, LIVERPOOL, NY 13088-3589
(315) 434-9309
(315) 454-0136
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9027009
—
NJ
Enumeration date
08/17/2005
Last updated
09/11/2007
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