Koffer, Paul P

Koffer, Paul P is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Koffer, Paul P can be contacted via phone (401) 444-3600.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903
Fax: (401) 444-3124
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD16186 Rhode Island

Profile Details

NPI number 1821433053
LBN Legal business name Koffer, Paul P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2013
Last updated Oct 15th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821433053 NPPES
Rhode Island MEDICAID 1821433053

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