Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 156514 | MA |
NPI | 1003881632 |
---|---|
Provider Name | Paul M Dimond |
First Address | Falmouth, MA 02540-2912 |
Second Address | Falmouth, MA 02540-2912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 26/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G52793 | (02) | MA |
P00232108 | RAILROAD MEDICARE (01) | MA |