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Organization
STEPHEN E PAUL DO PA
Active
Organization
STEPHEN E PAUL DO PA
Active
Other names
Stephen E. Paul, D.O. Dr. Stephen E. Paul P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E. PAUL D.O. (PRESIDENT)
(856) 779-9220
Entity
Organization
Contact information
Practice address
111 E MAIN ST, MAPLE SHADE, NJ 08052-2679
(856) 779-9220
(856) 779-7890
Mailing address
111 E MAIN ST, MAPLE SHADE, NJ 08052-2679
(856) 779-9220
(856) 779-7890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB02548900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080169223
RAILROAD MEDICARE
NJ
05
—
2433109
—
NJ
Enumeration date
06/14/2008
Last updated
08/13/2008
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