Organization
WILLIAMSPORT PATHOLOGY ASSOCS.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J DILLMAN MD (TREASURER)
(800) 288-8325
Entity
Organization
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2321
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-4553
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009692280003
—
PA
05
—
0009692280005
—
PA
01
—
400563
HIGHMARK/BLUE SHIELD
PA
01
—
CC4291
RR MEDICARE
PA
Enumeration date
08/16/2006
Last updated
07/21/2022
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