Healthcare Provider Details

I. General information

NPI: 1659305563
Provider Name (Legal Business Name): PAUL H MCCAULEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 FOREST GLEN RD SUITE 500
SILVER SPRING MD
20910-1459
US

IV. Provider business mailing address

1400 FOREST GLEN RD SUITE 500
SILVER SPRING MD
20910-1459
US

V. Phone/Fax

Practice location:
  • Phone: 301-681-6772
  • Fax: 301-681-0346
Mailing address:
  • Phone: 301-681-6772
  • Fax: 301-681-0346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0020394
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: