Individual
DR. PAUL WILLIAM PROSPERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1812 LONG BEACH BLVD, SHIP BOTTOM, NJ 08008-4443
(609) 494-2323
Mailing address
1812 LONG BEACH BLVD, SHIP BOTTOM, NJ 08008-4443
(609) 494-2323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06900900
NJ
Other
Enumeration date
08/21/2006
Last updated
07/05/2011
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