Skudder, Paul Albert
Skudder, Paul Albert is an individual health care provider with primary practice located at 100 Camp St , Hyannis MA 02601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Skudder, Paul Albert can be contacted via phone (508) 775-1984.Contact Information
Primary practice address
100 Camp St
Hyannis MA 02601
Phone: (508) 775-1984
Fax: (508) 790-1987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 55871 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 55871 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 55871 | Massachusetts |
Profile Details
| NPI number | 1861481657 |
|---|---|
| LBN Legal business name | Skudder, Paul Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 26th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861481657 | NPPES |
| New York | MEDICAID | 01144650 |
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