Organization
ATLANTIC PATHOLOGY, PA
Active
Organization
ATLANTIC PATHOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA M SCHWAEGERLE MD (PRESIDENT)
(603) 433-4907
Entity
Organization
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 433-4907
(603) 499-4910
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1948
(207) 784-2554
(207) 777-1439
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101009400
FEDERAL WORKERS COMP
—
01
—
12080
HEALTHSOURCE
NH
05
—
142100001
—
ME
01
—
600763
TUFTS HEALTH PLAN
NH
05
—
80000795
—
NH
01
—
A0108
ANTHEM MAINE
ME
Enumeration date
12/09/2005
Last updated
09/03/2009
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