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DR. LARRY WYATT D.O. NPI 1871563965


NPI Information

NPI: 1871563965
Provider Name: DR. LARRY WYATT, D.O.
Classification: Pathology - 207ZC0500X
Entity Type: Individual

Specialization: Cytopathology

Address:
2201 CHAPEL AVE W
KENNEDY MEMORIAL HOSPITAL-UMC
CHERRY HILL, NJ
ZIP 08002
Phone: (856) 488-6560
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DR. Larry Wyatt, D.O. is a cytopathology pathology in Cherry Hill, NJ. The provider is a cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. DR. Larry Wyatt, D.O. NPI is 1871563965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2201 CHAPEL AVE W
KENNEDY MEMORIAL HOSPITAL-UMC
CHERRY HILL, NJ
ZIP 08002-048
Phone: (856) 488-6560
Fax: (856) 488-6546

The enumeration date for this NPI number is 1/23/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZC0500XPathologyCytopathologyMB032175NEW JERSEYYes
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMB032175NEW JERSEYX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1594064ASSMEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
23856909MEDICAIDNEW JERSEY
3D19577MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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