Provider Demographics
NPI:1801089248
Name:NASHUA PATHOLOGY, P.A.
Entity type:Organization
Organization Name:NASHUA PATHOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-889-4431
Mailing Address - Street 1:154 BROAD ST
Mailing Address - Street 2:SUITE 1538
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3239
Mailing Address - Country:US
Mailing Address - Phone:603-889-4431
Mailing Address - Fax:603-889-1572
Practice Address - Street 1:154 BROAD ST
Practice Address - Street 2:SUITE 1538
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3239
Practice Address - Country:US
Practice Address - Phone:603-889-4431
Practice Address - Fax:603-889-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50Y330600NH01OtherBC/BS
NH81223306Medicaid
NHH000814OtherCHAMPUS
NHH000814OtherCHAMPUS