Organization
NEWTON WELLESLEY PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAY ROSS M.D. (SECRETARY, BOARD OF DIRECTORS)
(617) 243-6140
Entity
Organization
Contact information
Practice address
2014 WASHINGTON ST, DEPARTMENT OF PATHOLOGY, NEWTON, MA 02462-1607
(617) 243-6140
(617) 243-5809
Mailing address
PO BOX 490940, LAWRENCEVILLE, GA 30049-0016
(770) 237-4500
(770) 237-4539
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9735861
—
MA
Enumeration date
04/25/2006
Last updated
10/05/2007
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