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NPI Code Detail

MEDICARE: DR. PAUL R CASS DO

MEDICARE: DR. PAUL R CASS 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
12084N0402XNeurology with Special Qualifications in Child Neurology Physician7191NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841295508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL R CASS DO
Provider Business Mailing Address
First Line : 789 CENTRAL AVE
Second Line :
City : DOVER
State : NH
Zip : 03820-2526
Country : US
Telephone Number : 603-749-0913
Fax Number : 603-749-0973
Provider Business Practice Location Address
First Line : 10 MEMBERS WAY STE 300
Second Line :
City : DOVER
State : NH
Zip : 03820-5933
Country : US
Telephone Number : 603-749-0913
Fax Number : 603-749-0973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 10/01/2018

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