Doctor Name: | DR. PAUL LOVE |
NPI Number: | 1356607030 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 175311-1 |
Business Practice Address: | 9000 Rockville Pike Bldg. 6b, Rm. 2b-210 Bethesda, MD - 208922780 |
Business Phone Number: | 3014024946 |
Business Fax Number: | |
Mailing Address: | 9000 Rockville Pike, Bldg. 6b, Rm. 2b-210 BETHESDA |
State: | MD |
Postal Code: | 208922780 |
Phone Number: | 3014024946 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2012 |
NPI Last Update Date: | 04/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 175311-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |