Provider Demographics
NPI:1740272434
Name:POLLICE, PAUL F (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:POLLICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:250 CETRONIA RD
Mailing Address - Street 2:STE 303
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-973-6200
Mailing Address - Fax:866-644-0894
Practice Address - Street 1:250 CETRONIA ROAD
Practice Address - Street 2:SUITE 303
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-973-6200
Practice Address - Fax:610-973-6546
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD070458L207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7932479001OtherCIGNA
PA0018378220001Medicaid
PA7259255OtherAETNA
PA958048OtherKEYSTONE CENTRAL
PA958048OtherAMERIHEALTH ADMIN
PA200043306OtherRAILROAD MEDICARE
PA821053OtherFIRST PRIORITY HEALTH
PAP2721707OtherOXFORD
PA01219901OtherBLUE CROSS
PA0864185000OtherKEYSTONE EAST
PA958048OtherBLUE SHIELD
PAH44461Medicare UPIN
PA7259255OtherAETNA