Provider Demographics
NPI:1851399000
Name:CARO, PAUL JOHN (MD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JOHN
Last Name:CARO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6970 ERIE RD ROUTE 5
Mailing Address - Street 2:SUITE A
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-9592
Mailing Address - Country:US
Mailing Address - Phone:716-947-9147
Mailing Address - Fax:716-947-5175
Practice Address - Street 1:6970 ERIE ROAD ROUTE 5
Practice Address - Street 2:SUITE A
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9592
Practice Address - Country:US
Practice Address - Phone:716-947-9147
Practice Address - Fax:716-947-5175
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2008-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY180738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000511097004OtherBCBS
NY0106818OtherINDEPENDENT HEALTH
NY01292391Medicaid
NY0106818OtherINDEPENDENT HEALTH
NY000511097004OtherBCBS