Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD434321 | PA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD434321 | PA |
NPI | 1356555635 |
---|---|
Provider Name | Jaimey M Pauli |
First Address | Hershey, PA 17033-0858 |
Second Address | Camp Hill, PA 17011-4518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 31/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022130840001 | (05) | PA |