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Organization
NORTH SUFFOLK SURGICAL ASSOC
Active
Organization
NORTH SUFFOLK SURGICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD BORDEN M.D. (PRESIDENT)
(631) 474-0707
Entity
Organization
Contact information
Practice address
625 BELLE TERRE RD, SUITE 201, PORT JEFFERSON, NY 11777-2316
(631) 474-0707
(631) 474-4034
Mailing address
333 ROUTE 25A, ROCKY POINT, NY 11778-8556
(631) 474-0707
(631) 474-4034
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
133133
NY
Other
Enumeration date
07/10/2008
Last updated
10/24/2014
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