1841413671 NPI number — PAUL C. KUO, M.D., D.M.D., P.C.

Table of content: (NPI 1841413671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841413671 NPI number — PAUL C. KUO, M.D., D.M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAUL C. KUO, M.D., D.M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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 Information

NPI Number:
1841413671
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
405 COCHITUATE RD
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
FRAMINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01701-4648
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-424-2525
Provider Business Mailing Address Fax Number:
508-424-2528

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
209 HARVARD ST
Provider Second Line Business Practice Location Address:
SUITE 405
Provider Business Practice Location Address City Name:
BROOKLINE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02446-5005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-566-8800
Provider Business Practice Location Address Fax Number:
617-566-8818
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KUO
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
617-566-8800

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  13487 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 204E00000X , with the licence number: 10451 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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