Organization
BOARD CERTIFIED DERMATOPATHOLOGY, INC
Active
Other names
BCD, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA MARIE GUERRIERE-KOVACH M.D. (DOCTOR)
(330) 270-1832
Entity
Organization
Contact information
Practice address
5208 MAHONING AVE, SUITE 208, YOUNGSTOWN, OH 44515-1858
(330) 799-9270
(330) 799-2295
Mailing address
5208 MAHONING AVE, SUITE 208, YOUNGSTOWN, OH 44515-1858
(330) 799-9270
(330) 799-2295
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
0101231016
VA
207ZD0900X
Dermatopathology (Pathology) Physician
20881
WV
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
35074029
OH
207ZD0900X
Dermatopathology (Pathology) Physician
MD418830
PA
207ZD0900X
Dermatopathology (Pathology) Physician
ME84498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282926
ANTHEM BCBS PROVIDER #
OH
05
—
010128099
—
VA
05
—
2407818
—
OH
05
—
6703070000
—
WV
Enumeration date
01/03/2007
Last updated
03/10/2023
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