Individual
DAVID W PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(157) 078-0282
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(157) 078-0282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C2-0007898
DE
207L00000X
Anesthesiology Physician
Primary
OS011882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001911527
—
PA
01
—
1005
AOA CERTIFICATE
—
01
—
35800
ABA CERTIFICATE
PA
01
—
P00918741
RAILROAD MEDICARE
PA
Enumeration date
10/04/2005
Last updated
05/25/2021
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