MATTHEW D PARADISO, PA-C, Surgical NOVI, MI

Contact Information

MATTHEW D PARADISO, PA-C

47601 GRAND RIVER AVE
PROVIDENCE PARK HOSPITAL
NOVI, MI 48374

Phone: 248-465-4100
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MATTHEW D PARADISO · (Male)

NPI Number	`1710390950`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	06/05/2014
Last updated	07/29/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	MI License # 5601007034
Hospital affiliation(s)	MOUNT CLEMENS REGIONAL MEDICAL CENTER - (Acute Care) 1000 HARRINGTON BLVD MOUNT CLEMENS, MI 48043

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MATTHEW D PARADISO, PA-C – NPI #1710390950Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for MATTHEW D PARADISO · (Male)

Reviews for MATTHEW D PARADISO

MATTHEW D PARADISO, PA-C – NPI #1710390950
Surgical