Provider Demographics
NPI:1962850610
Name:JOHN D PAULSON MD PC
Entity Type:Organization
Organization Name:JOHN D PAULSON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUSLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-751-2175
Mailing Address - Street 1:5901 MONTROSE RD APT S700
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4750
Mailing Address - Country:US
Mailing Address - Phone:240-751-2175
Mailing Address - Fax:240-482-8715
Practice Address - Street 1:5901 MONTROSE RD APT S700
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4750
Practice Address - Country:US
Practice Address - Phone:240-751-2175
Practice Address - Fax:240-482-8715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty