Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D00058124 | MD |
NPI | 1518922491 |
---|---|
Provider Name | Dr. Paul J. King |
First Address | Annapolis, MD 21401-3743 |
Second Address | Annapolis, MD 21401-3088 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 17/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
699560800 | (05) | MD |
H42001 | (02) | MD |