Provider Demographics
NPI:1740278316
Name:PAUL, JAMES JULIUS (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JULIUS
Last Name:PAUL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:191 NORTH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-1510
Mailing Address - Country:US
Mailing Address - Phone:716-881-6113
Mailing Address - Fax:716-884-6389
Practice Address - Street 1:191 NORTH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1510
Practice Address - Country:US
Practice Address - Phone:716-881-6113
Practice Address - Fax:716-884-6389
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY136543207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00687352Medicaid
NYB71686Medicare UPIN
NY00687352Medicaid