Individual
DR. JONATHAN DANIEL PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401
(802) 847-3843
(802) 847-1481
Mailing address
100 EAST CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 269-5317
(626) 577-2100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042.0012437
VT
207W00000X
Ophthalmology Physician
49087
KY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
148289
CA
Other
Enumeration date
01/28/2006
Last updated
09/04/2018
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