Provider Demographics
NPI:1235282278
Name:KUE, PAULA JEANNE (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JEANNE
Last Name:KUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:77 ACCORD PARK DR STE D4
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1652
Mailing Address - Country:US
Mailing Address - Phone:781-952-1280
Mailing Address - Fax:508-630-2418
Practice Address - Street 1:541 MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1889
Practice Address - Country:US
Practice Address - Phone:781-952-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA246194207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-2297845OtherMULTI-PLAN/PHCS
04-2297845OtherTRICARE
1235282278OtherNEIGHBORHOOD HEALTH PLAN
AA280869OtherHARVARD PILGRIM
04-2297845OtherGIC/UNICARE
J51032OtherBCBSMA
7314312OtherCIGNA
855703OtherTUFTS AND TMP
MA110094622AMedicaid
1235282278OtherFALLON
04-2297845OtherUNITED HEALTH CARE
9499073OtherAETNA
AA280869OtherHARVARD PILGRIM