Organization
POTOMAC HIGHLANDS PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DUSENBERY M.D. (PRESIDENT)
(240) 964-2500
Entity
Organization
Contact information
Practice address
12500 WILLOWBROOK ROAD, CUMBERLAND, MD 21502-1873
(240) 964-2500
Mailing address
81 BALTIMORE ST, ST 219, CUMBERLAND, MD 21502-3008
(301) 722-0616
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KV46PO
BLUE CROSS
MD
Enumeration date
08/31/2006
Last updated
01/05/2010
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