Individual
PAUL EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 W CHESTER PIKE, HAVERTOWN, PA 19083-2700
(610) 446-2260
(610) 446-3360
Mailing address
2010 W CHESTER PIKE, HAVERTOWN, PA 19083-2700
(610) 446-2260
(610) 446-3360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD025524E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00420778
RAILROAD MEDICARE
PA
Enumeration date
08/09/2005
Last updated
06/04/2012
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