Individual
ANDREW WILLIAM PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1717 N 12TH ST UNIT F, PHILADELPHIA, PA 19122-2585
(215) 235-2001
Mailing address
1717 N 12TH ST UNIT F, PHILADELPHIA, PA 19122-2585
(215) 235-2001
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1073843
PA
183700000X
Pharmacy Technician
Primary
T27329
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30242866
PTCB - CPHT
—
Enumeration date
02/01/2023
Last updated
08/20/2025
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