Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA10140000 | NJ |
N | 207X00000X | Orthopaedic Surgeon | MT199065 | PA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD450957 | PA |
NPI | 1225329972 |
---|---|
Provider Name | Paul Maxwell Courtney |
First Address | Philadelphia, PA 19107-4430 |
Second Address | Philadelphia, PA 19107-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2011 |
Last Update Date | 19/11/2021 |