Pocono Surgical Associates in East Stroudsburg - Specialist
Pocono Surgical Associates - NPI 1245311067
Pocono Surgical Associates is a Specialist in East Stroudsburg, Pennsylvania. Pocono Surgical Associates practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pocono Surgical Associates is 1245311067. The last update date is 2009-03-02.
Pocono Surgical Associates's current location address is 391 E Brown St, East Stroudsburg, Pennsylvania. You can contact this provider via phone number 5704215997 and fax number 5704217635. The mailing address for Pocono Surgical Associates is 391 E Brown St, East Stroudsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pocono Surgical Associates |
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Address | 391 E Brown St, East Stroudsburg, Pennsylvania |
Phone Number | 5704215997 |
Fax Number | 5704217635 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Paul Boris |
Credentials | M.D. |
Telephone Number | 5704215997 |
NPI Number Detail
NPI Number | 1245311067 |
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Provider Enumeration Date | 2006-10-18 |
Last Updated Date | 2009-03-02 |
Provider Mailing Address Detail
Address | 391 E Brown St |
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City | East Stroudsburg |
State | Pennsylvania (PA) |
Post Code | 183019101 |
Phone Number | 5704215997 |
Fax Number | 5704217635 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MD028193E |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
11526240007 | PA | -- |
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What is the unique identification code assigned to Pocono Surgical Associates by the Centers for Medicare & Medicaid Services?
The Pocono Surgical Associates has been issued the NPI (National Provider Identifier) 1245311067. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pocono Surgical Associates located?
The Pocono Surgical Associates is located at 391 E Brown St, East Stroudsburg, PA 183019101.
What is Pocono Surgical Associates's area of expertise and its corresponding taxonomy classification?
The Pocono Surgical Associates's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did Pocono Surgical Associates receive its 1245311067 assignment from the Centers for Medicare & Medicaid Services?
The Pocono Surgical Associates was assigned its 1245311067 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Pocono Surgical Associates's details last updated?
The information pertaining to the Pocono Surgical Associates, including its address, specialty, and other details, was most recently updated on 2009-03-02.