Basic Information
Provider Information
NPI: 1326191768
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOLEY
FirstName: PAUL
MiddleName: J
NamePrefix:  
NameSuffix: III
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 829641
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191820001
CountryCode: US
TelephoneNumber: 6723705295
FaxNumber: 2152303725
Practice Location
Address1: 599 W STATE ST STE 302
Address2:  
City: DOYLESTOWN
State: PA
PostalCode: 189012567
CountryCode: US
TelephoneNumber: 2152306982
FaxNumber: 2152306983
Other Information
ProviderEnumerationDate: 01/19/2007
LastUpdateDate: 04/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0129XMD425590PAY Allopathic & Osteopathic PhysiciansSurgeryVascular Surgery

No ID Information.


Home