Organization
HANOVER PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS SOCRATES M.D. (PRESIDENT)
(814) 643-6207
Entity
Organization
Contact information
Practice address
300 HIGHLAND AVE, HANOVER, PA 17331-2297
(814) 643-6207
(814) 643-6165
Mailing address
900 BRYAN ST, PO BOX 382, SUITE 2, HUNTINGDON, PA 16652-2413
(814) 643-6207
(814) 643-6165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39D0187385
PA
291U00000X
Clinical Medical Laboratory
39D0187385
PA
Other
Enumeration date
04/05/2006
Last updated
05/06/2008
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