Provider Demographics
NPI:1619179215
Name:PAUL, ADAM R (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:R
Last Name:PAUL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1210 S CEDAR CREST BLVD STE 2400
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6235
Practice Address - Country:US
Practice Address - Phone:610-402-3888
Practice Address - Fax:610-402-3892
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2022-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0164172080P0206X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology