Organization
PAUL MD LLC
Active
Organization
PAUL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAWEL M SZCZYKUTOWICZ MD (OWNER)
(513) 793-1580
Entity
Organization
Contact information
Practice address
7300 SUSAN SPRINGS DR, WEST CHESTER, OH 45069-4082
(513) 325-4625
(513) 777-4693
Mailing address
PO BOX 643450, CINCINNATI, OH 45264-0308
(513) 325-4625
(513) 777-4693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2948538
—
OH
01
—
DC6890
RR MEDICARE
OH
Enumeration date
01/24/2007
Last updated
08/18/2009
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