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Individual

DR. DUSTIN JACOB PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-0003
(717) 531-0119
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-5338
(717) 531-3999

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS021706
PA
208000000X
Pediatrics Physician
Q5064
TX
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
OS021706
PA
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Q5064
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
OS021706
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Q5064
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3978711701
TX
01
H08LF29301
BCBS
TX
Enumeration date
04/10/2013
Last updated
04/25/2022
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