Provider Demographics
NPI:1174730956
Name:PAUL, SCOTT MITCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MITCHELL
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1408 WOODSIDE PKWY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1553
Mailing Address - Country:US
Mailing Address - Phone:301-257-7634
Mailing Address - Fax:301-563-6259
Practice Address - Street 1:1408 WOODSIDE PKWY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1553
Practice Address - Country:US
Practice Address - Phone:301-257-7634
Practice Address - Fax:301-563-6259
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD482102081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F01539Medicare UPIN