Provider Demographics
NPI:1932114402
Name:MAGARELLI, PAUL C (MD, PHD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:C
Last Name:MAGARELLI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 S DESPLAINES ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 JOSEPHINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4750
Practice Address - Country:US
Practice Address - Phone:720-370-5671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301064196207VE0102X
DCMD500002660207VE0102X
ARE-16496207VE0102X
GA98281207VE0102X
IL036.164276207VE0102X
NJ25IA12199500207VE0102X
NY314657-01207VE0102X
CAG73609207VE0102X
COCDRH.0036345207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology