Organization
BEAVER VALLEY PATHOLOGY ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE C MIN MD (MD/CO-OWNER)
(800) 288-8325
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(877) 771-4847
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010439600007
—
PA
Enumeration date
10/12/2006
Last updated
02/13/2017
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