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Individual
PAUL F UPDIKE
Active
Individual
PAUL F UPDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211389
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
211389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010368201
UNIVERA
NY
01
—
000525221003
BLUE CROSS OF WNY
NY
01
—
0410078
INDEPENDENT HEALTH
NY
Enumeration date
07/05/2006
Last updated
04/02/2025
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