Stephen E. Paul, D.o. Dr. Stephen E. Paul P.a. | |
111 E Main St Maple Shade NJ 08052-2679 | |
(856) 779-9220 | |
(856) 779-7890 |
Full Name | Stephen E. Paul, D.o. Dr. Stephen E. Paul P.a. |
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Speciality | Family Medicine |
Location | 111 E Main St, Maple Shade, New Jersey |
Authorized Official Name and Position | Stephen E. Paul (PRESIDENT) |
Authorized Official Contact | 8567799220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stephen E. Paul, D.o. Dr. Stephen E. Paul P.a. 111 E Main St Maple Shade NJ 08052-2679 Ph: (856) 779-9220 | Stephen E. Paul, D.o. Dr. Stephen E. Paul P.a. 111 E Main St Maple Shade NJ 08052-2679 Ph: (856) 779-9220 |
NPI Number | 1841450616 |
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Provider Enumeration Date | 06/14/2008 |
Last Update Date | 08/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841450616 | NPI | - | NPPES |
080169223 | Other | NJ | RAILROAD MEDICARE |
2433109 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB02548900 (New Jersey) | Primary |