Individual
DR. JESSE DAVID BORYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1525 OREGON PIKE STE 1201, LANCASTER, PA 17601-4375
(717) 393-4503
(717) 393-5524
Mailing address
1525 OREGON PIKE STE 1201, LANCASTER, PA 17601-4375
(717) 393-4503
(717) 393-5524
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006870
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006870
PA
213ES0000X
Sports Medicine Podiatrist
SC006870
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006870
PA
213ES0131X
Foot Surgery Podiatrist
SC006870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037732260001
—
PA
Enumeration date
07/07/2017
Last updated
05/10/2022
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