Provider Demographics
NPI:1346586815
Name:CELLPATH THERAPEUTICS, INC
Entity Type:Organization
Organization Name:CELLPATH THERAPEUTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:RICIGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-317-7160
Mailing Address - Street 1:400 E PRATT ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9700 GREAT SENECA HWY
Practice Address - Street 2:SUITE 208
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3307
Practice Address - Country:US
Practice Address - Phone:301-317-7160
Practice Address - Fax:443-283-4052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory