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Individual
ALFRED A PAUL
Active
Individual
ALFRED A PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD10487
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026310
BLUE SHIELD OF RHODE ISLAND
—
01
—
010487
TUFTS HALTH PLAN
—
01
—
0800782
UNITED HEALTHCARE
—
01
—
2450368
AETNA U.S. HEALTHCARE- MASTER
—
01
—
407997
BLUE CHIP
—
05
—
9026310
—
RI
01
—
MD10487
STATE MEDICAL LICENSE #
RI
01
—
P00201594
RAILROAD MEDICARE
—
Enumeration date
10/01/2006
Last updated
06/02/2008
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