Organization
POCONO SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS PAUL M.D. (OWNER)
(570) 421-5997
Entity
Organization
Contact information
Practice address
391 E BROWN ST, EAST STROUDSBURG, PA 18301-9101
(570) 421-5997
(570) 421-7635
Mailing address
391 E BROWN ST, EAST STROUDSBURG, PA 18301-9101
(570) 421-5997
(570) 421-7635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD028193E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011526240007
—
PA
Enumeration date
10/18/2006
Last updated
03/02/2009
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