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Individual

BORIS PASCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1900
(336) 713-5440
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5440
(336) 713-5445

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036104020
IL
207RH0003X
Hematology & Oncology Physician
Primary
2014-00991
NC
207RH0003X
Hematology & Oncology Physician
29164
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051594866
BCBS
AL
01
051594867
BCBS
AL
01
051596866
BCBS
AL
05
105864
AL
05
105865
AL
05
108952
AL
01
P00821345
RAILROAD MEDICARE
AL
Enumeration date
07/05/2006
Last updated
06/24/2021
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