Individual
DR. JOSE ERNESTO PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200301397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135PT
BCBS NC
NC
01
—
5985760
AETNA
NC
01
—
804215
PARTNERS MEDICARE
NC
05
—
89135PT
—
NC
01
—
D0617
MEDCOST
NC
Enumeration date
04/26/2006
Last updated
10/01/2021
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