Individual
PAUL S IMPERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17163
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001191005
BLUE CROSS BLUE SHIELD
—
05
—
031026
—
OR
01
—
180014364
RAILROAD MEDICARE
—
Enumeration date
12/01/2006
Last updated
01/14/2011
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