Organization
DOCTORS PATHOLOGY SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SUKUMAR M.D. (MEDICAL DIRECTOR)
(302) 677-0000
Entity
Organization
Contact information
Practice address
1253 COLLEGE PARK DR, DOVER, DE 19904-8713
(302) 677-0000
Mailing address
1253 COLLEGE PARK DR, DOVER, DE 19904-8713
(302) 677-0000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
08D1010629
DE
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
DE
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146200801
—
MD
Enumeration date
07/21/2005
Last updated
07/21/2022
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