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Individual

DR. PAUL J GURECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 OAK RIDGE TPKE, SUITE C-260, OAK RIDGE, TN 37830-6957
(865) 813-0300
(865) 813-0307
Mailing address
80 VERMONT AVE, OAK RIDGE, TN 37830-6474
(865) 482-4078
(865) 482-4960

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD23457
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3067777
TN
01
P00311164
RAILROAD MEDICARE
TN
Enumeration date
10/06/2005
Last updated
02/01/2008
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