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Individual

DR. PAUL MARK SCIBIELSKI

Active
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Individual

DR. PAUL MARK SCIBIELSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M8323
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00712N
MEDICARE GROUP PTAN
TX
05
—
081040002
—
TX
01
—
8K8210
INDIVIDUAL MEDICARE PTAN
TX
Enumeration date
06/14/2007
Last updated
06/24/2015
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