Wyatt, Larry

Wyatt, Larry is an individual health care provider with primary practice located at 2201 Chapel Ave W Kennedy Memorial Hospital-Umc, Cherry Hill NJ 08002-2048. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Wyatt, Larry can be contacted via phone (856) 488-6560.

Contact Information

Primary practice address
2201 Chapel Ave W Kennedy Memorial Hospital-Umc Cherry Hill NJ 08002-2048
Phone: (856) 488-6560
Fax: (856) 488-6546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MB032175 New Jersey
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MB032175 New Jersey

Profile Details

NPI number 1871563965
LBN Legal business name Wyatt, Larry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871563965 NPPES
New Jersey MEDICAID 3856909

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