Individual provider · Type 1 NPI

Paul Martin Fudacz Jr., DO

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1306647573 Active

Practice location

930 Chestnut Ridge Rd
Morgantown, WV 26505-2807

Call (304) 293-5323 Map

Fax (304) 293-8724

Mailing address

806 Colwell St
Maumee, OH 43537-3518

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306647573

Paul Martin Fudacz Jr., DO's National Provider Identifier is 1306647573, issued on Mar 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Mar 22, 2025.