Individual
DR. PAUL AXELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
928 IVYCROFT RD, WAYNE, PA 19087-2014
(610) 724-6375
Mailing address
928 IVYCROFT RD, WAYNE, PA 19087-2014
(610) 724-6375
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD050854L
PA
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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