Individual
DR. PAUL STEPHEN THESIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 1135, CHEVY CHASE, MD 20815-4404
(301) 951-8122
(301) 951-8128
Mailing address
5530 WISCONSIN AVE, SUITE 1135, CHEVY CHASE, MD 20815-4404
(301) 951-8122
(301) 951-8128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0063922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7153742
AETNA PROVIDER ID NUMBER
MD
Enumeration date
10/23/2006
Last updated
07/09/2007
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