Provider Demographics
NPI:1073538237
Name:PALUMBO, PAUL ERIC (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ERIC
Last Name:PALUMBO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:INFECTIOUS DISEASE - DARTMOUTH-HITCHCOCK MED CTR
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-8840
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:INFECTIOUS DISEASE - DARTMOUTH-HITCHCOCK MED CTR
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-8840
Practice Address - Fax:603-650-6199
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH133802080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30206477Medicaid
VT1013322Medicaid
NJ5410207Medicaid
NHRE9039Medicare PIN
NH30206477Medicaid
NJ80359Medicare PIN