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NPI Code Detail

MEDICARE: DR. JOHN WILLIAM PAULISH DO

MEDICARE: DR. JOHN WILLIAM PAULISH DO
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
1207R00000XInternal Medicine PhysicianOS005887LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114922663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WILLIAM PAULISH DO
Provider Business Mailing Address
First Line : 1 GUTHRIE SQ
Second Line :
City : SAYRE
State : PA
Zip : 18840-1625
Country : US
Telephone Number : 570-888-5858
Fax Number :
Provider Business Practice Location Address
First Line : 1 GUTHRIE SQ
Second Line :
City : SAYRE
State : PA
Zip : 18840-1625
Country : US
Telephone Number : 866-519-0457
Fax Number : 570-770-5263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/03/2021

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Directions to “ DR. JOHN WILLIAM PAULISH DO” Practice Location

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