1427181270 NPI number — MR. ROBERT MICHAEL PAULL M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427181270 NPI number — MR. ROBERT MICHAEL PAULL M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

PAULL

Provider First Name:

ROBERT

Provider Middle Name:

MICHAEL

Provider Name Prefix Text:

MR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1427181270

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/08/2007

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

4 PROGRESS ST

Provider Second Line Business Mailing Address:

SUITE B7

Provider Business Mailing Address City Name:

EDISON

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

08820-1199

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

908-754-0770

Provider Business Mailing Address Fax Number:

908-754-4731

Provider First Line Business Practice Location Address:

4 PROGRESS ST

Provider Second Line Business Practice Location Address:

SUITE B7

Provider Business Practice Location Address City Name:

EDISON

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

08820-1199

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

908-754-0770

Provider Business Practice Location Address Fax Number:

908-754-4731

Provider Enumeration Date:

03/13/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 174400000X , with the licence number:  25MA04449900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 19F18 . This is a "EMPIRE BCBS" identifier . This identifiers is of the category "OTHER".
• Identifier: J23569 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
• Identifier: 22ONMEDCAREPRO . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
• Identifier: 2967541 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
• Identifier: 146750153948 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
• Identifier: 701128 . This is a "US FAMILY" identifier . This identifiers is of the category "OTHER".
• Identifier: 0488551 . This is a "AETNA HEALTH MANAGEMENT" identifier . This identifiers is of the category "OTHER".
• Identifier: ROBERT M. PAULL MD . This is a "GENERIC" identifier . This identifiers is of the category "OTHER".
• Identifier: 78022229675410 . This is a "HORIZON BCBS OF NJ" identifier . This identifiers is of the category "OTHER".
• Identifier: NJ9999 . This is a "THE MUTUAL OF OMAHA CO" identifier . This identifiers is of the category "OTHER".
• Identifier: PR57396850002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 17373 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
• Identifier: A0000 . This is a "BCBS OF FLORIDA" identifier . This identifiers is of the category "OTHER".