Organization
PAUL L VERNON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL L VERNON MD (OWNER/PRESIDENT)
(856) 235-1211
Entity
Organization
Contact information
Practice address
2026 BRIGGS RD, SUITE B, MOUNT LAUREL, NJ 08054-4601
(856) 235-1211
(856) 231-1149
Mailing address
2026 BRIGGS ROAD, SUITE B, MOUNT LAUREL, NJ 08054-4602
(856) 235-1211
(856) 231-1149
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629266572
RAILROAD MEDICARE
—
Enumeration date
10/04/2007
Last updated
05/20/2008
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