Organization
SALMON FALLS PATHOLOGY LLC
Active
Other names
Salmon Falls Pathology PA
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN F CAPLE (OWNER)
(603) 332-7303
Entity
Organization
Contact information
Practice address
15 WHITEHALL RD, ROCHESTER, NH 03867
(603) 335-8195
(603) 330-0098
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142720000
—
ME
05
—
30008982
—
NH
01
—
604295100
FED WORKERS COMP
—
01
—
607638
TUFTS HEALTH PLAN
—
05
—
9757881
—
MA
Enumeration date
09/28/2006
Last updated
03/04/2019
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