Individual
DR. PAUL B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD014679E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000639131
ANTHEM BLUE CROSS AND BLUE SHIELD
IN
05
—
100322840
—
IN
Enumeration date
05/27/2005
Last updated
04/17/2013
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