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Individual

DR. BORIS PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,F.A.C.S

Contact information

Practice address
505 INDEPENDENCE RD, STE E, EAST STROUDSBURG, PA 18301-7916
(570) 421-5997
(570) 421-7635
Mailing address
505 INDEPENDENCE RD, SUITE E, EAST STROUDSBURG, PA 18301-7916
(570) 421-5997
(570) 421-7635

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
138069-1
NY
208600000X
Surgery Physician
ME 121565
FL
2086S0129X
Vascular Surgery Physician
Primary
MD028193E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001152624007
PA
Enumeration date
07/07/2005
Last updated
04/09/2015
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