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Contact Information

KMC PATHOLOGY PA
600 RIVER AVE
LAKEWOOD TOWNSHIP, NJ08701-5237
 Phone: 732-363-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KMC PATHOLOGY PA · (Female)

NPI # 1770530834
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 6804802
  • Other 2037958 AETNA
  • Other 0895102000 AMERIHEALTH
  • Other 1K3134 HEALTHNET
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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