Organization Name: | PAUL G. EPSTEIN, D.O., P.C. |
NPI Number: | 1639365950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL EPSTEIN (OWNER) |
Mailing Address: | 2602 W 9th St Ste 103 Chester |
State: | PA US |
Postal Code: | 190132040 |
Phone Number: | 6104944440 |
Fax Number: | 6108590350 |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS002695L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |