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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1861481657 NPPES
New York MEDICAID 01144650

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