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NPI Code Detail

MEDICARE: PAUL CU TRAN D.P.M.

MEDICARE:   PAUL CU TRAN  D.P.M.
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
1213E00000XPodiatrist005721NY

General Provider Information

NPI Number : 1063519973
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL CU TRAN D.P.M.
Provider Business Mailing Address
First Line : PO BOX 1239
Second Line :
City : SARANAC LAKE
State : NY
Zip : 12983-7239
Country : US
Telephone Number : 518-891-9161
Fax Number : 518-891-9187
Provider Business Practice Location Address
First Line : 136 BROADWAY STE 3
Second Line :
City : SARANAC LAKE
State : NY
Zip : 12983-1404
Country : US
Telephone Number : 518-891-9161
Fax Number : 518-891-9187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/03/2023

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Directions to “ PAUL CU TRAN D.P.M.” Practice Location

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