Organization
IDEAL PATHOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE D ESPINAL-MARIOTTE MD (OWNER)
(973) 720-5733
Entity
Organization
Contact information
Practice address
307 HAMBURG TPKE, SUITE 1A, WAYNE, NJ 07470-2142
(973) 720-5733
(973) 720-6684
Mailing address
PO BOX 1466, BROOKFIELD, WI 53008-1466
(414) 258-9511
(414) 607-3946
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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