Organization
BLUE HERON MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL REARDON FLEURY M.D. (DOCTOR)
(410) 957-3005
Entity
Organization
Contact information
Practice address
305 10TH ST, STE 101, POCOMOKE CITY, MD 21851-1607
(410) 957-3005
(410) 957-0550
Mailing address
305 10TH ST, STE 101, POCOMOKE CITY, MD 21851-1607
(410) 957-3005
(410) 957-0550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D058928
MD
207Q00000X
Family Medicine Physician
D45995
MD
207R00000X
Internal Medicine Physician
D24871
MD
207R00000X
Internal Medicine Physician
Primary
D24872
MD
207R00000X
Internal Medicine Physician
D36576
MD
363LF0000X
Family Nurse Practitioner
Q37875
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245292853
NPI
MD
01
—
1265491286
NPI
MD
01
—
1639269368
NPI
MD
01
—
1669558227
NPI
MD
01
—
1841384625
NPI
MD
01
—
1992764815
NPI
MD
Enumeration date
08/28/2007
Last updated
03/01/2012
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