Provider Demographics
NPI:1730284506
Name:MCCAUSLAND, PAUL JOSEPH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:MCCAUSLAND
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 QUAKER LN
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1034
Mailing Address - Country:US
Mailing Address - Phone:610-658-1966
Mailing Address - Fax:610-859-1100
Practice Address - Street 1:100 QUAKER LN
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1034
Practice Address - Country:US
Practice Address - Phone:610-658-1966
Practice Address - Fax:610-859-1100
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0237364E207Q00000X
PAMD023736E2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB37108Medicare UPIN
PA118660Medicare ID - Type Unspecified