Organization
MICHAEL J PARIS, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J PARIS DPM (PHYSICIAN OWNER)
(717) 632-5264
Entity
Organization
Contact information
Practice address
250 FAME AVE, SUITE 220, HANOVER, PA 17331-1587
(717) 632-5264
(717) 632-1165
Mailing address
250 FAME AVE, SUITE 220, HANOVER, PA 17331-1587
(717) 632-5264
(717) 632-1165
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004734L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467348
AMERIHEALTH ADMINISTRATOR
PA
01
—
2113979
ALLIANCE
MD
01
—
50038811
CAPITAL BLUE CROSS
PA
01
—
62019601
BLUE CROSS/ BLUE SHIELD MD
MD
Enumeration date
08/24/2015
Last updated
08/24/2015
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