Provider Demographics
NPI:1568412559
Name:SZAL, PAUL CONRAD (MD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:CONRAD
Last Name:SZAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 683
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04903-0683
Mailing Address - Country:US
Mailing Address - Phone:207-873-6034
Mailing Address - Fax:207-872-9136
Practice Address - Street 1:33 WHITING HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1022
Practice Address - Country:US
Practice Address - Phone:207-973-8198
Practice Address - Fax:207-973-7630
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME0106382085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME010638OtherLICENSE
ME302730099Medicaid
MEAS1000760OtherDEA
MEAS1000760OtherDEA
ME302730099Medicaid