Individual
RICHARD L PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 PEARL STREET, SUITE 2700, BROCKTON, MA 02301-2870
(508) 584-4104
(508) 584-4105
Mailing address
1 PEARL STREET, SUITE 2700, BROCKTON, MA 02301-2870
(508) 584-4104
(508) 584-4105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011428
NEIGHBORHOOD HEALTH
MA
01
—
11925340
HEALTHNET
MA
01
—
17-00325
AETNA
MA
05
—
3008525
—
MA
01
—
48940
TUFTS
MA
01
—
8202
HARVARD PILGRIM
MA
01
—
P00118211
RR MEDICARE
MA
01
—
PAJ04420
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
03/16/2006
Last updated
01/14/2010
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