Provider Demographics
NPI:1619976362
Name:PAUZE, JOHN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:PAUZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 GARRISONVILLE RD
Mailing Address - Street 2:STE 201
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-3706
Mailing Address - Country:US
Mailing Address - Phone:540-659-4157
Mailing Address - Fax:
Practice Address - Street 1:608 GARRISONVILLE RD
Practice Address - Street 2:STE 201
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-3706
Practice Address - Country:US
Practice Address - Phone:540-659-4157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101023659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine