Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 13597 | RI |
Y | 207VE0102X | Reproductive Endocrinologist | 246464 | MA |
N | 207VE0102X | Reproductive Endocrinologist | 60962 | GA |
NPI | 1295918027 |
---|---|
Provider Name | Dr. Samuel Allen Pauli |
First Address | Lexington, MA 02420-1520 |
Second Address | Lexington, MA 02420-1520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2007 |
Last Update Date | 04/02/2018 |