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General NPI Number Information
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NPI Number | 1427089655
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Entity Type | Individual
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Provider Name | PAUL HOWARD DOUGLASS MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 4222 LINCOLN HWY
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City | YORK
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State | PA
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Zip | 17406-8083
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Country | US
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Telephone | 717-812-7802
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Fax | 717-812-7811
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Provider Business Mailing Address
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Address Line | 1803 MOUNT ROSE AVE SUITE B3
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City | YORK
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State | PA
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Zip | 17403-3026
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD012593E
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License Number State | PA
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