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Individual

DR. PAUL ADRIEN SUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
152761
NY
207X00000X
Orthopaedic Surgery Physician
Primary
MD059283L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015924700001
PA
05
01662977
NY
01
200039043
RR MEDICARE PIN
PA
01
CC9269
RR MEDICARE GROUP
PA
01
GU039978
PA MEDICARE GROUP
PA
Enumeration date
02/21/2006
Last updated
09/16/2011
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