Organization Name: | BENJAMIN J. PAOLUCCI, D.O., P.C. |
NPI Number: | 1902014699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENJAMIN J PAOLUCCI (PRESIDENT) |
Mailing Address: | 27483 Dequindre Rd Suite 301 Madison Heights |
State: | MI US |
Postal Code: | 480713491 |
Phone Number: | 2485434000 |
Fax Number: | 2485343214 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5101005386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |