Cutaneous Pathology, P.A.
Pathology, Dermatopathology in Winston Salem, NC. Organization (NPI-2).
NPI number1881841856
StatusActive
Last updated in NPPESDec 10, 2025
Details
- NPI
- 1881841856
- Entity type
- Organization (NPI-2)
- Legal business name
- Cutaneous Pathology, P.A.
- Organization subpart
- No
- Enumeration date
- Aug 21, 2008
- Certification date
- Dec 10, 2025
- Last updated
- Dec 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZD0900X | Pathology, Dermatopathology | 138498 | NC | Yes |
Practice location
1800 S Hawthorne Rd Ste 200Winston Salem, NC 27103-4014
Phone 336-760-1388 · Fax 336-760-1398
Mailing address
Po Box 306648Nashville, TN 37230-6648
Phone 336-760-1388 · Fax 336-760-1398
Authorized official
Omar Pastor Sangueza
President
3367601388
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