Organization
HEALTH ACCESS NETWORK
Active
Other names
HAN Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
GERALYN E. PATERSON (ADMINISTRATIVE DIRECTOR BUS. OFFICE)
(610) 497-7410
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, UPLAND, PA 19013-3902
(610) 447-2282
(610) 447-2254
Mailing address
PO BOX 8500 2940, PHILADELPHIA, PA 19178-0001
(586) 412-4369
(526) 412-4037
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747447-0146
—
PA
01
—
401219
BLUE SHIELD
PA
Enumeration date
10/06/2005
Last updated
05/13/2010
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