Individual provider · NPI-1

Paul A Raymond, MD

Family Medicine · Cresson, PA

NPI number1992705727
StatusActive
Last updated in NPPESApr 14, 2009

Details

NPI
1992705727
Entity type
Individual (NPI-1)
Name
Paul A Raymond
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2005
Last updated
Apr 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD013554EPAYes

Practice location

225 Keystone Ave
Cresson, PA 16630-1214

Phone 814-886-4635 · Fax 814-886-5470

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305

Phone 814-410-8300 · Fax 814-410-8331

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