Provider Demographics
NPI:1942499611
Name:PAULICK, JOSHUA ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALAN
Last Name:PAULICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 PRESTIGE PL STE 550
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6115
Mailing Address - Country:US
Mailing Address - Phone:937-762-1306
Mailing Address - Fax:937-522-7017
Practice Address - Street 1:1380 NW WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1208
Practice Address - Country:US
Practice Address - Phone:513-737-3690
Practice Address - Fax:513-737-3698
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2024-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.093930208600000X
OH57.013263208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery