Provider Demographics
NPI:1154372837
Name:PAUL P ANDREWS
Entity type:Organization
Organization Name:PAUL P ANDREWS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:P
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-299-8374
Mailing Address - Street 1:205 WORCESTER CT
Mailing Address - Street 2:C-4
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-3919
Mailing Address - Country:US
Mailing Address - Phone:508-299-8374
Mailing Address - Fax:508-299-8377
Practice Address - Street 1:205 WORCESTER CT
Practice Address - Street 2:C-4
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-3919
Practice Address - Country:US
Practice Address - Phone:508-299-8374
Practice Address - Fax:508-299-8377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty