Provider Demographics
NPI:1356518989
Name:PAULUS, RONALD A (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
Last Name:PAULUS
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 1:205 YORK RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-8514
Mailing Address - Country:US
Mailing Address - Phone:570-524-3551
Mailing Address - Fax:570-524-0507
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:MC: 30-55
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-3055
Practice Address - Country:US
Practice Address - Phone:570-214-8126
Practice Address - Fax:570-214-5070
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG66423207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine