MEDICARE: DEBORAH PAUL MD

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	207N00000X	Dermatology Physician	176004	NY
2	207ND0101X	MOHS-Micrographic Surgery Physician	71417	MN
3	207ND0101X	MOHS-Micrographic Surgery Physician	35.152280	OH
4	207ND0101X	MOHS-Micrographic Surgery Physician	295603	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

General Provider Information

NPI Number	:	1700371960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH PAUL MD

Provider Business Mailing Address
First Line	:	1 CENTRAL ST UNIT 492
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-7024
Country	:	US
Telephone Number	:	330-230-0262
Fax Number	:

Provider Business Practice Location Address
First Line	:	8183 GOLDEN LINK BLVD
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44067-2015
Country	:	US
Telephone Number	:	330-778-1278
Fax Number	:	330-525-9009

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

Provider Enumeration Date	:	06/28/2018
Last Update Date	:	03/11/2025

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Directions to “ DEBORAH PAUL MD” Practice Location

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