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Individual

MR. PAUL G SIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 S QUEEN ST, YORK, PA 17403-4630
(717) 812-7500
(717) 848-2074
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-7500
(717) 848-2074

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD040090E
PA
208C00000X
Colon & Rectal Surgery Physician
MD040090E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012572880003
PA
05
102885344
PA
01
50049088
BLUE CROSS
01
665608
BLUE SHIELD
PA
01
P01448247
RAILROAD MEDICARE
PA
Enumeration date
08/04/2006
Last updated
09/28/2015
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