Provider Demographics
NPI:1477510550
Name:AITKEN, PAUL V (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:V
Last Name:AITKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:4TH & WILLOW STREET
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-0300
Mailing Address - Country:US
Mailing Address - Phone:717-272-4451
Mailing Address - Fax:717-272-4532
Practice Address - Street 1:4TH & WILLOW STREET
Practice Address - Street 2:HYMAN CAPLAN 2ND FLOOR
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-0300
Practice Address - Country:US
Practice Address - Phone:717-270-3821
Practice Address - Fax:717-270-3821
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-08-29
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Provider Licenses
StateLicense IDTaxonomies
PAMD426553207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G59609Medicare UPIN