Individual
PAUL MODELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
(717) 231-8772
Mailing address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS018492
PA
207R00000X
Internal Medicine Physician
OS018492
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS018492
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103438507
—
PA
Enumeration date
06/03/2013
Last updated
02/02/2021
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