Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 304975 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS017578 | PA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | OS11504 | FL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | OT012624 | PA |
NPI | 1033371455 |
---|---|
Provider Name | Matthew C Pauli |
First Address | Chambersburg, PA 17201-4232 |
Second Address | Waynesboro, PA 17268-2332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 19/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103096151 | (05) | PA |