Provider Demographics
NPI:1245246958
Name:MAURIELLO, PAUL M (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:MAURIELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1125 DIAMOND DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5857
Mailing Address - Country:US
Mailing Address - Phone:301-790-1482
Mailing Address - Fax:301-790-1377
Practice Address - Street 1:1125 DIAMOND DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5857
Practice Address - Country:US
Practice Address - Phone:301-790-1482
Practice Address - Fax:301-790-1377
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2025-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0029555207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD462641901Medicaid