MEDICARE: DR. DAVID A PAUL MD

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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	D16713	MD

General Provider Information

NPI Number	:	1417922923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A PAUL MD

Provider Business Mailing Address
First Line	:	31 WARRENTON RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21210-2924
Country	:	US
Telephone Number	:	410-467-3886
Fax Number	:

Provider Business Practice Location Address
First Line	:	5755 CEDAR LN
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-2912
Country	:	US
Telephone Number	:	410-740-7737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2006
Last Update Date	:	02/04/2008

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