Individual
ALFRED A PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 EAST AVE, PAWTUCKET, RI 02860-5217
(401) 728-9350
(401) 728-1320
Mailing address
465 EAST AVE, PAWTUCKET, RI 02860-5217
(401) 728-9350
(401) 728-1320
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD10487
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026310
BLUE SHIELD OF RHODE ISLAND
—
01
—
010487
TUFTS HALTH PLAN
—
01
—
0800782
UNITED HEALTHCARE
—
01
—
2450368
AETNA U.S. HEALTHCARE- MASTER
—
01
—
407997
BLUE CHIP
—
05
—
9026310
—
RI
01
—
MD10487
STATE MEDICAL LICENSE #
RI
01
—
P00201594
RAILROAD MEDICARE
—
Enumeration date
10/01/2006
Last updated
06/02/2008
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