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Individual

DR. JOHN C SANBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
122 EDWARDS FALLS LN, MANLIUS, NY 13104-8349
(315) 446-9045

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
084069
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00538481
NY
Enumeration date
08/11/2006
Last updated
08/22/2008
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