Organization
CONSULTANTS IN PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FREDERICK MD (PRESIDENT)
(203) 709-6053
Entity
Organization
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1281
(203) 709-6053
(203) 709-3156
Mailing address
PO BOX 6305, CHURCH STREET STATION, NEW YORK, NY 10249-6305
(800) 214-2888
(207) 753-2100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004114914
—
CT
Enumeration date
08/09/2006
Last updated
08/11/2014
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