Organization
HOBOKEN PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED OLUSEGUN FAYEMI M.D. (PRESIDENT)
(201) 418-1420
Entity
Organization
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(201) 418-1420
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913005
—
NJ
Enumeration date
12/13/2006
Last updated
02/02/2009
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