Individual
DR. JOEL H PAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
6932 WILLIAMS RD, SUITE 1700, NIAGARA FALLS, NY 14304-3071
(716) 297-7040
Mailing address
6932 WILLIAMS RD, SUITE 1700, NIAGARA FALLS, NY 14304-3071
(716) 297-7040
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
113986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005057781
BLUE SHIELD
NY
05
—
00667276
—
NY
Enumeration date
02/10/2006
Last updated
11/09/2016
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