Individual
PAUL JONATHAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12108 STARDRIFT DR, GERMANTOWN, MD 20876-5916
(717) 713-3044
Mailing address
12108 STARDRIFT DR, GERMANTOWN, MD 20876-5916
(717) 713-3044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301116489
MI
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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