Healthcare Provider Details

I. General information

NPI: 1871677187
Provider Name (Legal Business Name): PAUL JOSEPH MCLAUGHLIN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 PLEASANT ST
NEW BEDFORD MA
02740-6641
US

IV. Provider business mailing address

19 CONSTITUTION AVE
MIDDLETOWN RI
02842-4736
US

V. Phone/Fax

Practice location:
  • Phone: 508-997-2900
  • Fax: 508-991-4432
Mailing address:
  • Phone: 508-264-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number817
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: