Organization
PAUL MACKOUL MD
Active
Other names
Women Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAVINA JACKS (BILLING & COLLECTION MANAGER)
(301) 652-4800
Entity
Organization
Contact information
Practice address
129 LUBRANO DRIVE, SUITE 101, ANNAPOLIS, MD 21401-7566
(410) 897-0501
(410) 897-0504
Mailing address
PO BOX 37230, BALTIMORE, MD 21297-3230
(301) 652-4800
(301) 664-6475
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
D0047612
MD
Other
Enumeration date
08/01/2006
Last updated
09/17/2012
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