Provider Demographics
NPI:1144297060
Name:GARFINKLE, PAUL ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ANDREW
Last Name:GARFINKLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:985 S SAWBURG RD
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-3515
Mailing Address - Country:US
Mailing Address - Phone:330-823-1680
Mailing Address - Fax:330-823-3831
Practice Address - Street 1:985 S SAWBURG RD
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-3515
Practice Address - Country:US
Practice Address - Phone:330-823-1680
Practice Address - Fax:330-823-3831
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH75599208D00000X
OH35075599G207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2099812Medicaid
0866021Medicare ID - Type Unspecified
G61552Medicare UPIN