MEDICARE: DR. PAUL JAMES WRIGHT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	48906	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	22D0070631	OTHER	MA	CLIA

General Provider Information

NPI Number	:	1356331318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL JAMES WRIGHT M.D.

Provider Business Mailing Address
First Line	:	28 HAYDEN ROWE ST
Second Line	:
City	:	HOPKINTON
State	:	MA
Zip	:	01748-1840
Country	:	US
Telephone Number	:	508-435-4033
Fax Number	:	508-435-7328

Provider Business Practice Location Address
First Line	:	28 HAYDEN ROWE ST
Second Line	:
City	:	HOPKINTON
State	:	MA
Zip	:	01748-1840
Country	:	US
Telephone Number	:	508-435-4033
Fax Number	:	508-435-7328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	02/22/2012

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