Provider Demographics
NPI:1366554552
Name:BARON, PAUL S (DO)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:BARON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:830 TWINING RD
Mailing Address - Street 2:SUITE #6
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025
Mailing Address - Country:US
Mailing Address - Phone:215-628-3350
Mailing Address - Fax:215-628-4137
Practice Address - Street 1:830 TWINING RD
Practice Address - Street 2:SUITE #6
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025
Practice Address - Country:US
Practice Address - Phone:215-628-3350
Practice Address - Fax:215-628-4137
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA05005289L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA122674Medicare PIN
C30799Medicare UPIN