Provider Demographics
NPI:1841295508
Name:CASS, PAUL R (DO)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:R
Last Name:CASS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:789 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-749-0913
Mailing Address - Fax:603-749-0973
Practice Address - Street 1:10 MEMBERS WAY STE 300
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-5933
Practice Address - Country:US
Practice Address - Phone:603-749-0913
Practice Address - Fax:603-749-0973
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2018-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH71912084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3075601Medicaid
ME1841295508Medicaid
ME1841295508Medicaid
NHNH171503Medicare PIN