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NPI Code Detail

MEDICARE: PAUL T CASS M.D.

MEDICARE: PAUL T CASS 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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD13725EPA

General Provider Information

NPI Number : 1831127943
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL T CASS M.D.
Provider Business Mailing Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 E STATE ST
Second Line :
City : KENNETT SQUARE
State : PA
Zip : 19348-3109
Country : US
Telephone Number : 610-925-4187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/08/2007

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