Individual
DR. PAUL D LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5720
(410) 328-5685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5720
(410) 328-5685
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D17522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178398001
—
WV
05
—
034369400
—
DC
05
—
150021000
—
MD
05
—
1982643250
—
DE
01
—
330480-01
BLUE CROSS/BLUE SHIELD
MD
05
—
8183201
—
NJ
Enumeration date
06/05/2006
Last updated
11/29/2010
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