Provider Demographics
NPI:1356501191
Name:PLANET, PAUL JOSEPH (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:PLANET
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:100 PENN SQUARE EAST, 9TH FL
Mailing Address - Street 2:CHCA INFECTIOUS DISEASE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-2017
Practice Address - Fax:215-590-2025
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
PAMD4567992080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases