Individual
PAUL G FAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-1036
(240) 964-1048
Mailing address
PO BOX 3206, LAVALE, MD 21504-3206
(240) 964-1036
(240) 964-1048
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102-037215
VA
2085R0202X
Diagnostic Radiology Physician
Primary
H83966
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010231329
—
VA
Enumeration date
03/09/2006
Last updated
01/23/2020
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