Organization
CUTANEOUS PATHOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR PASTOR SANGUEZA MD (PRESIDENT)
(336) 760-1388
Entity
Organization
Contact information
Practice address
1800 S HAWTHORNE RD STE 200, WINSTON SALEM, NC 27103-4014
(336) 760-1388
(336) 760-1398
Mailing address
PO BOX 306648, NASHVILLE, TN 37230-6648
(336) 760-1388
(336) 760-1398
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
138498
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950703
—
NC
05
—
QPB748
—
SC
Enumeration date
08/21/2008
Last updated
12/10/2025
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